Ignacio Protto, | |
312 W J St, Los Banos, CA 93635-4073 | |
(209) 827-6178 | |
Not Available |
Full Name | Ignacio Protto |
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Gender | Male |
Speciality | Physical Therapist |
Location | 312 W J St, Los Banos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053033498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Sport & Rehab Physical Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558512327 PECOS PAC ID: 0042350357 Enrollment ID: O20091217000424 |
Mailing Address | Practice Location Address |
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Ignacio Protto, 312 W J St, Los Banos, CA 93635-4073 Ph: () - | Ignacio Protto, 312 W J St, Los Banos, CA 93635-4073 Ph: (209) 827-6178 |
Glenn Ernest Fabian, Physical Therapist Medicare: Medicare Enrolled Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 | |
Neptahli Santarin Parian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 208-827-6179 | |
Susanna Russell, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179 | |
Yashesh Goradia, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 301-278-9852 | |
Raymond Bradley Dunne, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 Mercey Springs Rd, Suite A, Los Banos, CA 93635 Phone: 209-829-0444 Fax: 209-829-0445 | |
Mr. Scott Kevin Russell, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179 |