Blue Jay Physical Therapy | |
26571 St. Hwy 18, Suite B, Rimforest, CA 92378-0010 | |
(909) 337-4192 | |
(909) 336-1982 |
Full Name | Blue Jay Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 26571 St. Hwy 18, Rimforest, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093873887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 225100000X (California) | Primary |
Provider Name | Clarence Spencer Beeman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124186929 PECOS PAC ID: 0042469389 Enrollment ID: I20121002000687 |
Provider Name | Sandra T Chetelat |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417016379 PECOS PAC ID: 8224289889 Enrollment ID: I20121108000465 |
Mailing Address | Practice Location Address |
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Blue Jay Physical Therapy Po Box 784, Blue Jay, CA 92317-0784 Ph: (909) 337-4192 | Blue Jay Physical Therapy 26571 St. Hwy 18, Suite B, Rimforest, CA 92378-0010 Ph: (909) 337-4192 |
Mr. C. Spencer Beeman, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26571 St. Hwy. 18, Suite B, Rimforest, CA 92378 Phone: 909-337-4192 Fax: 909-336-1982 | |
Mrs. Sandra Thomspon Chetelat, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26571 St. Hwy 18, Suite B, Rimforest, CA 92378 Phone: 909-337-4192 Fax: 909-336-1982 | |
Mrs. Della Rose Utt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26571 Highway 18, Suite B, Rimforest, CA 92378 Phone: 909-337-4192 Fax: 909-336-1982 |