Debra Jayne Slater, | |
2865 Atlantic Ave #117, Long Beach, CA 90806 | |
(562) 424-3090 | |
Not Available |
Full Name | Debra Jayne Slater |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2865 Atlantic Ave #117, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447471644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11093 (California) | Primary |
Provider Name | Southern Mono Health Care District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160 |
Mailing Address | Practice Location Address |
---|---|
Debra Jayne Slater, 5400 Orange Ave #215, Cypress, CA 90630 Ph: () - | Debra Jayne Slater, 2865 Atlantic Ave #117, Long Beach, CA 90806 Ph: (562) 424-3090 |
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