Alicia Dawn Mclelland, MPT | |
1777 W Yosemite Ave, Manteca, CA 95337-5130 | |
(209) 825-3696 | |
Not Available |
Full Name | Alicia Dawn Mclelland |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1777 W Yosemite Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629136338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT23216 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Alicia Dawn Mclelland, MPT 1777 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 825-3696 | Alicia Dawn Mclelland, MPT 1777 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 825-3696 |
Victoria Fara Leah Diaz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2531 Edgebrook Ln, Manteca, CA 95336 Phone: 646-270-1537 | |
April Diamond Witherspoon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave, Manteca, CA 95336 Phone: 843-356-2790 | |
Mr. Mark Dejong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1041 N Main St Ste A, Manteca, CA 95336 Phone: 209-824-9888 Fax: 209-824-9469 | |
Roger Cabo Inciong, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3652 Rapallo Way, Manteca, CA 95337 Phone: 408-656-9834 | |
Kaitlin White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1519 W Yosemite Ave, Manteca, CA 95337 Phone: 239-784-9354 | |
Kevin Patrick Bergman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1019 S Main St, Manteca, CA 95337 Phone: 209-624-1002 Fax: 209-222-6182 | |
Mr. Bonhoeffer Estrella, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Eastwood Ave, Manteca, CA 95336 Phone: 209-239-1222 |