Laura Greene, DPT | |
269 Coronado St, Hercules, CA 94547-2020 | |
(510) 672-2336 | |
Not Available |
Full Name | Laura Greene |
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Gender | Female |
Speciality | Physical Therapist |
Location | 269 Coronado St, Hercules, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578132916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | 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 |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Laura Greene, DPT 3701 Broadway, Oakland, CA 94611-5613 Ph: (510) 123-4567 | Laura Greene, DPT 269 Coronado St, Hercules, CA 94547-2020 Ph: (510) 672-2336 |
Monica J Rivera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 142 Sparrow Dr, Hercules, CA 94547 Phone: 415-353-1740 | |
Haydee Reyes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Cortes Ct, Hercules, CA 94547 Phone: 510-799-1435 | |
Imelda Dayuta Milo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Dockside Bay, Hercules, CA 94547 Phone: 559-930-9670 | |
Mr. Philip Ronquillo Malgapo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Napoli Ct, Hercules, CA 94547 Phone: 510-245-0272 |