| Anna Basore, DPT | |
|
4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | |
| (510) 547-1630 | |
| Not Available |
| Full Name | Anna Basore |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4341 Piedmont Ave Ste 201, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497320287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT7408 (Idaho) | Primary |
| Provider Name | Sports & Orthopedic Leaders Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013981760 PECOS PAC ID: 0446146708 Enrollment ID: O20090729000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Basore, DPT 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 Ph: (510) 547-1630 | Anna Basore, DPT 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 Ph: (510) 547-1630 |
Eric Biglang-awa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Franklin St, Suite 905, Oakland, CA 94612 Phone: 510-893-7463 | |
Suzanne P Whitcomb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Mr. Matthew Gabrielson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6221 | |
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 Fax: 510-923-1944 | |
Miss Denitza V Hristova, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Barbara Chan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 | |
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 |