Chaparral Physical Therapy | |
525 Melissa Ave, Ste B, Barstow, CA 92311-3002 | |
(760) 256-1888 | |
(760) 256-2893 |
Full Name | Chaparral Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 525 Melissa Ave, Barstow, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528083227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT12940 (California) | Primary |
Provider Name | Tracy Leland Malan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154323020 PECOS PAC ID: 0143203794 Enrollment ID: I20040614000342 |
Provider Name | Vernon G Spidle |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962436808 PECOS PAC ID: 5395939003 Enrollment ID: I20101027000123 |
Provider Name | Keith Ganzon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538449368 PECOS PAC ID: 2466607320 Enrollment ID: I20130226000027 |
Provider Name | Marte F Asumen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396105532 PECOS PAC ID: 2163720608 Enrollment ID: I20160415001317 |
Mailing Address | Practice Location Address |
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Chaparral Physical Therapy 525 Melissa Ave, Ste B, Barstow, CA 92311-3002 Ph: (760) 256-1888 | Chaparral Physical Therapy 525 Melissa Ave, Ste B, Barstow, CA 92311-3002 Ph: (760) 256-1888 |
Mr. Tracy L Malan, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 525 Melissa Ave, Ste B, Barstow, CA 92311 Phone: 760-256-1888 Fax: 760-256-2893 | |
Sara Jean Seitz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 Melissa Ave, Barstow, CA 92311 Phone: 760-256-1888 Fax: 760-244-4288 | |
Jennifer Robin Hudson, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 E Virginia Way, Suite N, Barstow, CA 92311 Phone: 760-256-9243 Fax: 760-256-4069 | |
Ms. Sherri K Szabo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 Melissa Ave, Suite B, Barstow, CA 92311 Phone: 760-256-1888 Fax: 760-256-2893 | |
Marte Asumen, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 525 Melissa Ave Ste B, Barstow, CA 92311 Phone: 760-256-1888 | |
William Howard Hudson, R.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 E Virginia Way, Suite N, Barstow, CA 92311 Phone: 760-256-9243 |