MEDICARE: LAURIE OSHAUGHNESSY PT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OPT137040	OTHER	CA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1679624613	OTHER	CA	BROOKE BARRETT NPI
3	1184774218	OTHER	CA	MICHELLE WILLIAMS NPI
4	1336298827	OTHER	CA	LAURIE OSHAUGHNESSY NPI

General Provider Information

NPI Number	:	1609880525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURIE OSHAUGHNESSY PT SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 1387
Second Line	:	215 CARNELIAN BAY AVE SUITE A
City	:	CARNELIAN BAY
State	:	CA
Zip	:	96140-1387
Country	:	US
Telephone Number	:	530-546-7581
Fax Number	:	530-546-7869

Provider Business Practice Location Address
First Line	:	215 CARNELIAN BAY ST
Second Line	:	SUITE A
City	:	CARNELIAN BAY
State	:	CA
Zip	:	96140
Country	:	US
Telephone Number	:	530-546-7581
Fax Number	:	530-546-7869

Authorized Official
Title or Position	:	PHYSICAL THERAPIST OWNER
Name	:	LAURIE OSHAUGHNESSY
Credential	:	MSPT
Telephone Number	:	530-546-7581

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	04/25/2008

Similar Medicare Providers

1336298827 — LAURIE MARIE OSHAUGHNESSY MSPT
Practice Location Address:

215 CARNELIAN BAY ST. , SUITE A
CARNELIAN BAY, CA
96140

Practice Phone: 530-546-7581
Practice Fax: 530-546-7869

1184774218 — MICHELLE L WILLIAMS MPT
Practice Location Address:

215 CARNELIAN BAY RD
CARNELIAN BAY, CA
96140

Practice Phone: 530-546-7581
Practice Fax:

1679624613 — BROOKE BARRETT MSPT
Practice Location Address:

215 CARNELIAN BAY ROAD
CARNELIAN BAY, CA
96140

Practice Phone: 530-546-7581
Practice Fax:

1497887830 — KATHY ANN TANNER M.F.T.
Practice Location Address:

5225 NORTH LAKE BLVD.
CARNELIAN BAY, CA
96140

Practice Phone: 530-546-1957
Practice Fax: 530-546-1939

1477678431 — MISS BETSY RACHAEL DOBBINS
Practice Location Address:

5225 N. LAKE BLVD
CARNELIAN BAY, CA
96140

Practice Phone: 530-546-1958
Practice Fax: 530-546-1939

1417172255 — DR. NATHAN ELLIOT COHEN DC
Practice Location Address:

3190 FABIAN WAY, , SUITE B
CARNELIAN BAY, CA
96140-0788

Practice Phone: 530-583-1609
Practice Fax:

Directions to “LAURIE OSHAUGHNESSY PT SERVICES ” Practice Location

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