Provider Demographics
NPI:1487886701
Name:SARENA, JOANNE (BSCPHYSICAL THERAPY)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:SARENA
Suffix:
Gender:F
Credentials:BSCPHYSICAL THERAPY
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:BERNHAUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSCPHYSICAL THERAPY
Mailing Address - Street 1:745 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7510 CLAIREMONT MESA BLVD.,
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111
Practice Address - Country:US
Practice Address - Phone:858-277-2277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACN938ZMedicare PIN