| Innovative Senior Rehab | |
|
2220 W Kettleman Ln, Lodi, CA 95242-4347 | |
| (209) 365-6764 | |
| (209) 365-6764 |
| Full Name | Innovative Senior Rehab |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2220 W Kettleman Ln, Lodi, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598827495 | NPI | - | NPPES |
| CH1035 | Other | CA | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Senior Rehab 222 W Pine St, Lodi, CA 95240-2020 Ph: (209) 368-1009 | Innovative Senior Rehab 2220 W Kettleman Ln, Lodi, CA 95242-4347 Ph: (209) 365-6764 |
Sharen N Cheathon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225 | |
Eliza R Downs, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225 | |
Rafael Carlos, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 W Kettleman Ln Ste 106, Lodi, CA 95242 Phone: 209-207-0849 | |
Piper Lee Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 Fax: 209-368-4219 | |
Nino Otacan Conde, Physical Therapist Medicare: Medicare Enrolled Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 | |
Innovative Senior Rehabilitation Services Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Turner Rd, Lodi, CA 95240 Phone: 209-367-5812 Fax: 209-367-5812 | |
Michael Ray Ballance, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 W Lockeford St, Lodi, CA 95240 Phone: 209-331-7471 Fax: 209-331-7464 |