Diana Basanese, PT, DPT | |
350 Posada Ln, 103, Templeton, CA 93465-4061 | |
(805) 434-2050 | |
(805) 434-0065 |
Full Name | Diana Basanese |
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Gender | Female |
Speciality | Physical Therapist |
Location | 350 Posada Ln, Templeton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013155878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 35322 (California) | Primary |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Diana Basanese, PT, DPT 805 Aerovista Pl, 201, San Luis Obispo, CA 93401-7919 Ph: (805) 788-0805 | Diana Basanese, PT, DPT 350 Posada Ln, 103, Templeton, CA 93465-4061 Ph: (805) 434-2050 |
Kalahan T Slette, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Posada Ln, Suite 103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0065 | |
Allison Gary, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Posada Ln Ste 103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0665 | |
Laura Louise Rose, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Posada Ln, Suite 103, Templeton, CA 93465 Phone: 805-434-0065 Fax: 805-434-2050 | |
Jason Scott Sanders, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Posada Ln, Suite103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0065 | |
Kara R Dolny, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Posada Ln Ste 103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0065 | |
Michael Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Posada Ln Ste 103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0665 |