Kaleb Chase Price, | |
14766 Washington Ave, San Leandro, CA 94578-4220 | |
(510) 352-2211 | |
Not Available |
Full Name | Kaleb Chase Price |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 14766 Washington Ave, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447864962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13093 (Tennessee) | Secondary |
225100000X | Physical Therapist | 303600 (California) | Primary |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518 |
Mailing Address | Practice Location Address |
---|---|
Kaleb Chase Price, 1600 Ramona Way, Alamo, CA 94507-1032 Ph: (903) 219-0380 | Kaleb Chase Price, 14766 Washington Ave, San Leandro, CA 94578-4220 Ph: (510) 352-2211 |
Ms. Ingvild Benedicte Gasmann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-3197 Fax: 510-481-6327 | |
Ernesto Jasso, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Adrian Samuel Girardeau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14537 Santiago Rd, San Leandro, CA 94577 Phone: 510-734-9708 | |
Byron Maigue Romero, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, San Leandro, CA 94577 Phone: 510-454-1000 | |
Pattie Whitehurst, DPT,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13939 E 14th St Ste 150, San Leandro, CA 94578 Phone: 510-343-8300 | |
Ms. Leeanne Craft, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-675-3241 | |
Kathleen Edmunds1, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1850 Fairway Dr, San Leandro, CA 94577 Phone: 510-435-4708 |