Michael Dayton, DPT | |
5976 W Las Positas Blvd Ste 110, Pleasanton, CA 94588-8506 | |
(925) 426-6986 | |
Not Available |
Full Name | Michael Dayton |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5976 W Las Positas Blvd Ste 110, Pleasanton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902514623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 303139 (California) | Primary |
Provider Name | Pleasanton Physical Therapy Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336295138 PECOS PAC ID: 4284690694 Enrollment ID: O20041207001260 |
Mailing Address | Practice Location Address |
---|---|
Michael Dayton, DPT 5363 Sandra Way, Livermore, CA 94550-3810 Ph: (925) 518-2260 | Michael Dayton, DPT 5976 W Las Positas Blvd Ste 110, Pleasanton, CA 94588-8506 Ph: (925) 426-6986 |
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