| |
285 Hospital Dr, Room 29, Chowchilla, CA 93610-2041 | |
(559) 665-1709 | |
(559) 665-1767 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 285 Hospital Dr, Chowchilla, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639398936 | NPI | - | NPPES |
ZZZ07356Z | Other | CA | BLUE SHIELD GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT7911 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 185, Chowchilla, CA 93610-0185 Ph: (559) 665-1709 | 285 Hospital Dr, Room 29, Chowchilla, CA 93610-2041 Ph: (559) 665-1709 |
Gildebrand Gabertan Nicolas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2680 Amalfi, Chowchilla, CA 93610 Phone: 559-232-0402 | |
Brenda Neer, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Hospital Dr, Room 29, Chowchilla, CA 93610 Phone: 559-665-1709 Fax: 559-665-1767 |