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1810 Hoyt Ln, Manteca, CA 95336-6354 | |
| (209) 982-5159 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Pediatrics |
| Location | 1810 Hoyt Ln, Manteca, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639264005 | NPI | - | NPPES |
| CCS00005F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT23512 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2009, Stockton, CA 95201-2009 Ph: (209) 953-3617 | 1810 Hoyt Ln, Manteca, CA 95336-6354 Ph: (209) 982-5159 |
Alexander Paiz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3700 | |
Victoria Fara Leah Diaz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2531 Edgebrook Ln, Manteca, CA 95336 Phone: 646-270-1537 | |
April Diamond Witherspoon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave, Manteca, CA 95336 Phone: 843-356-2790 | |
Mr. Mark Dejong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1041 N Main St Ste A, Manteca, CA 95336 Phone: 209-824-9888 Fax: 209-824-9469 | |
Roger Cabo Inciong, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3652 Rapallo Way, Manteca, CA 95337 Phone: 408-656-9834 | |
Kaitlin White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1519 W Yosemite Ave, Manteca, CA 95337 Phone: 239-784-9354 | |
Kevin Patrick Bergman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1019 S Main St, Manteca, CA 95337 Phone: 209-624-1002 Fax: 209-222-6182 |