Mrs Lore Christine Vanden Heuvel, MPT | |
3400 Delta Fair Blvd, Antioch, CA 94509-4004 | |
(925) 779-5263 | |
Not Available |
Full Name | Mrs Lore Christine Vanden Heuvel |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3400 Delta Fair Blvd, Antioch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972653012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26265 (California) | 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 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lore Christine Vanden Heuvel, MPT 115 E Country Club Dr, Brentwood, CA 94513-5021 Ph: (925) 779-5263 | Mrs Lore Christine Vanden Heuvel, MPT 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 779-5263 |
Mark Benjamin Taylor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2213 Buchanan Rd, Suite 210, Antioch, CA 94509 Phone: 925-779-2592 Fax: 925-779-2521 | |
Matthew Robert White, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5442 | |
Thisbe Coleman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1210 A St, Antioch, CA 94509 Phone: 925-757-8787 | |
Jacob Fredrickson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6500 | |
Jessica Conroy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4808 Golden Bear Dr, Antioch, CA 94531 Phone: 925-354-2298 | |
Mrs. Jodi Sue Kabat, M.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5161 Lone Tree Way, Antioch, CA 94531 Phone: 925-522-8000 Fax: 925-522-8008 | |
Empowerme Physical Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Lone Tree Way, Antioch, CA 94509 Phone: 844-502-7996 |