Daniel Raymond Persichetti, PT | |
7150 Tampa Ave, Reseda, CA 91335-3700 | |
(818) 942-2284 | |
Not Available |
Full Name | Daniel Raymond Persichetti |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 7150 Tampa Ave, Reseda, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114136579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1170488 (Texas) | Secondary |
2251G0304X | Physical Therapist - Geriatrics | 34315 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jha Geriatric Services Inc | 2062321151 | 16 |
Provider Name | Jha Geriatric Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902403041 PECOS PAC ID: 2062321151 Enrollment ID: O20210413002226 |
Mailing Address | Practice Location Address |
---|---|
Daniel Raymond Persichetti, PT 7150 Tampa Ave, Reseda, CA 91335-3700 Ph: (818) 942-2284 | Daniel Raymond Persichetti, PT 7150 Tampa Ave, Reseda, CA 91335-3700 Ph: (818) 942-2284 |
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