Ian Horak, DPT | |
1519 W Yosemite Ave, Manteca, CA 95337-5159 | |
(209) 823-3322 | |
Not Available |
Full Name | Ian Horak |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1519 W Yosemite Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487200317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Multicare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
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Ian Horak, DPT 7962 Black Cherry Way Se, Caledonia, MI 49316-7560 Ph: () - | Ian Horak, DPT 1519 W Yosemite Ave, Manteca, CA 95337-5159 Ph: (209) 823-3322 |
Victoria Fara Leah Diaz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2531 Edgebrook Ln, Manteca, CA 95336 Phone: 646-270-1537 | |
April Diamond Witherspoon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave, Manteca, CA 95336 Phone: 843-356-2790 | |
Mr. Mark Dejong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1041 N Main St Ste A, Manteca, CA 95336 Phone: 209-824-9888 Fax: 209-824-9469 | |
Roger Cabo Inciong, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3652 Rapallo Way, Manteca, CA 95337 Phone: 408-656-9834 | |
Kaitlin White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1519 W Yosemite Ave, Manteca, CA 95337 Phone: 239-784-9354 | |
Kevin Patrick Bergman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1019 S Main St, Manteca, CA 95337 Phone: 209-624-1002 Fax: 209-222-6182 | |
Mr. Bonhoeffer Estrella, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Eastwood Ave, Manteca, CA 95336 Phone: 209-239-1222 |