| Emily Blaker, PT, DPT | |
|
1350 41st Ave Ste 100, Capitola, CA 95010-3934 | |
| (831) 706-2085 | |
| Not Available |
| Full Name | Emily Blaker |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1350 41st Ave Ste 100, Capitola, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548998545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 302455 (California) | Primary |
| Provider Name | Golden State Orthopedics & Spine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972552990 PECOS PAC ID: 8224940739 Enrollment ID: O20031103000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Blaker, PT, DPT Po Box 31396, Walnut Creek, CA 94598-8396 Ph: (925) 939-8585 | Emily Blaker, PT, DPT 1350 41st Ave Ste 100, Capitola, CA 95010-3934 Ph: (831) 706-2085 |
Charlene Norquist, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1350 41st Ave Ste 100, Capitola, CA 95010 Phone: 831-706-2085 | |
Ms. Vanessa Diamond, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 41st Ave Ste H, Capitola, CA 95010 Phone: 831-475-1200 | |
Marjorie E Wagoner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 41st Ave Ste 100, Capitola, CA 95010 Phone: 831-706-2085 Fax: 831-417-3799 | |
Alison Brock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2229 Albert Ln, Capitola, CA 95010 Phone: 831-713-7980 | |
Michelle Marie Zenda, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4400 Capitola Rd Ste 200, Capitola, CA 95010 Phone: 831-426-9302 Fax: 408-378-4510 | |
Cv Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 41st Ave Ste 100, Capitola, CA 95010 Phone: 831-706-2085 Fax: 831-417-3799 | |
Michele Annette Koch, PT, CLT-LANA, WCC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2045 40th Ave Ste A, Capitola, CA 95010 Phone: 831-465-7988 |