Gabrielle C Etchegaray Jackson, DPT | |
505 N Euclid St Ste 680, Anaheim, CA 92801-5509 | |
(714) 780-0010 | |
(714) 912-8640 |
Full Name | Gabrielle C Etchegaray Jackson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 505 N Euclid St Ste 680, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760265565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 304655 (California) | Primary |
Provider Name | California Rehabilitation & Sports Therapy A California Physical Ther |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115 |
Mailing Address | Practice Location Address |
---|---|
Gabrielle C Etchegaray Jackson, DPT 505 N Euclid St Ste 680, Anaheim, CA 92801-5509 Ph: (714) 780-0010 | Gabrielle C Etchegaray Jackson, DPT 505 N Euclid St Ste 680, Anaheim, CA 92801-5509 Ph: (714) 780-0010 |
Jeremy K Simmons, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 N Euclid St, Suite 680, Anaheim, CA 92801 Phone: 714-780-0010 Fax: 714-780-0050 | |
Jason Matthew Funke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Anaheim Blvd, Anaheim, CA 92805 Phone: 714-937-1919 | |
Sheryl Gonzales Ante, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 761 S Melrose St, Anaheim, CA 92805 Phone: 714-658-6321 | |
Rhodora T Intal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N Magnolia Ave, Anaheim, CA 92801 Phone: 714-484-1280 | |
Jennifer Greene, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 N Euclid St, Ste 680, Anaheim, CA 92801 Phone: 714-780-0010 Fax: 714-780-0050 | |
Parivash F Oreizy, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 S Anaheim Hills Rd, Suite 106, Anaheim, CA 92807 Phone: 714-685-0700 Fax: 714-685-9916 | |
Eliza H Cho, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 N Lakeview Ave, Anaheim, CA 92807 Phone: 714-748-6166 |