Coarsegold Physical Therapy, Incorporated | |
35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 | |
(559) 641-5445 | |
(559) 641-5449 |
Full Name | Coarsegold Physical Therapy, Incorporated |
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Type | Facility |
Speciality | Physical Therapist |
Location | 35324 Highway 41, Coarsegold, 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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1659563393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT18588 (California) | Primary |
Provider Name | William T Lapham |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013032887 PECOS PAC ID: 8820187891 Enrollment ID: I20071129000305 |
Provider Name | Jennilyn Q Lapham |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124143995 PECOS PAC ID: 1557450525 Enrollment ID: I20071129000323 |
Provider Name | Karen A Tiftick |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386760577 PECOS PAC ID: 4385974005 Enrollment ID: I20190924000418 |
Mailing Address | Practice Location Address |
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Coarsegold Physical Therapy, Incorporated 35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 Ph: (559) 641-5445 | Coarsegold Physical Therapy, Incorporated 35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 Ph: (559) 641-5445 |
Stacie Suzanne Roeder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35324 Highway 41, Suite D, Coarsegold, CA 93614 Phone: 559-641-5445 Fax: 559-641-5449 | |
Bryan Lequia, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47616 Willow Pond Rd, Coarsegold, CA 93614 Phone: 949-201-8946 |