Grand Terrace Physical Therapy | |
12139 Mount Vernon Ave, #110, Grand Terrace, CA 92313-5586 | |
(909) 370-3396 | |
Not Available |
Full Name | Grand Terrace Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 12139 Mount Vernon Ave, Grand Terrace, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518078203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT27372 (California) | Primary |
Mailing Address | Practice Location Address |
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Grand Terrace Physical Therapy 12139 Mount Vernon Ave, #110, Grand Terrace, CA 92313-5586 Ph: (909) 370-3396 | Grand Terrace Physical Therapy 12139 Mount Vernon Ave, #110, Grand Terrace, CA 92313-5586 Ph: (909) 370-3396 |
Pablo Mleziva, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave Ste 110, Grand Terrace, CA 92313 Phone: 909-370-3396 | |
Cheong Kim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313 Phone: 909-370-3396 | |
Christian Hernandez Aniag, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23070 Siskin Ct, Grand Terrace, CA 92313 Phone: 909-953-6713 | |
Mr. Richard Charles Ortiz, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 22908 Wren St, Grand Terrace, CA 92313 Phone: 951-990-6578 Fax: 909-614-7049 | |
Applied Therapy Solutions Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 22908 Wren St, Grand Terrace, CA 92313 Phone: 800-644-2966 Fax: 909-363-8574 | |
Mr. Gabriel Jesus Gonzalez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12139 Mount Vernon Ave Ste 110, Grand Terrace, CA 92313 Phone: 909-883-5069 Fax: 909-783-4288 |