Individual ProviderRanae HausePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4130 La Jolla Village Dr, Suite 300, La Jolla, CA 92037-9121(858) 450-7118(888) 208-8526PECOS EnrollmentBased on the most recent information from CMS, provider Ranae Hause 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 yesterday at 12:57 PM.Profile DetailsProvider ID1841253721Provider TypeIndividualFull NameHause, RanaeCredentialP.T.GenderFemaleSole ProprietorNoEnumeration Date4/10/2006Last Updated12/14/2010Contact InformationPractice LocationPractice Address4130 La Jolla Village Dr, Suite 300, La Jolla, CA 92037-9121Phone(858) 450-7118Fax(858) 450-7119Mailing LocationMailing Address3444 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1959Phone(888) 208-8526Fax(858) 751-0901Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT28039California