Individual ProviderFatheme R RastawanPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1751 W Romneya Dr, Suite M, Anaheim, CA 92801-1817(714) 774-6000PECOS EnrollmentBased on the most recent information from CMS, provider Fatheme R Rastawan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:59 PM.Profile DetailsProvider ID1326149816Provider TypeIndividualFull NameRastawan, Fatheme RTitleDr.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/26/2006Last Updated5/19/2009Contact InformationPractice LocationPractice Address1751 W Romneya Dr, Suite M, Anaheim, CA 92801-1817Phone(714) 774-6000Fax(714) 774-6100Mailing LocationMailing Address1751 W Romneya Dr, Suite M, Anaheim, CA 92801-1817Phone(714) 774-6000Fax(714) 774-6100Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense22945California