Miss Lonni Rose Stanton, PT | |
4601 Orwood Rd, Brentwood, CA 94513-5223 | |
(925) 381-1870 | |
Not Available |
Full Name | Miss Lonni Rose Stanton |
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Gender | Female |
Speciality | Physical Therapist |
Location | 4601 Orwood Rd, Brentwood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447468806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26469 (California) | Primary |
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 |
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Miss Lonni Rose Stanton, PT 4601 Orwood Rd, Brentwood, CA 94513-5223 Ph: (925) 381-1870 | Miss Lonni Rose Stanton, PT 4601 Orwood Rd, Brentwood, CA 94513-5223 Ph: (925) 381-1870 |
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