Jay B Dalto, DPT | |
5600 Pony Express Trl # A, Camino, CA 95709-9624 | |
(530) 644-5225 | |
Not Available |
Full Name | Jay B Dalto |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5600 Pony Express Trl # A, Camino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891128351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 40358 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Jay B Dalto, DPT 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: () - | Jay B Dalto, DPT 5600 Pony Express Trl # A, Camino, CA 95709-9624 Ph: (530) 644-5225 |
Jeanne Marie Conca, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3060 Snows Rd, Camino, CA 95709 Phone: 530-644-5915 Fax: 530-644-5576 | |
Lynette Rowe Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5600 Pony Express Trl # A, Camino, CA 95709 Phone: 530-644-5225 Fax: 530-644-5777 | |
Mr. Thomas John Mccoin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5600 Pony Express Trail, #a, Camino, CA 95709 Phone: 530-644-5225 Fax: 530-644-5777 | |
Mrs. Kimberly Sue Dehn, OTR/L Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Jacobsgaard Ln, Camino, CA 95709 Phone: 530-295-3948 |