| Mrs Stefanie Maria Ghisletta, PT | |
|
1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | |
| (707) 484-4927 | |
| Not Available |
| Full Name | Mrs Stefanie Maria Ghisletta |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1125 Sir Francis Drake Blvd, Kentfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326365818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 25073 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| 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 Stefanie Maria Ghisletta, PT 930 Samuel Dr, Petaluma, CA 94952-1856 Ph: (707) 484-4927 | Mrs Stefanie Maria Ghisletta, PT 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 Ph: (707) 484-4927 |
Mr. David John Borgeson, MPT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 Sir Francis Drake Blvd, Suite B, Kentfield, CA 94904 Phone: 415-256-9990 Fax: 415-256-9991 | |
Chen Yang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 College Ave, Kentfield, CA 94904 Phone: 415-258-9894 | |
Rebecca A Lindquist, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 College Ave, Kentfield, CA 94904 Phone: 415-258-9894 Fax: 415-258-8105 | |
Steve Sanchez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 College Ave, Kentfield, CA 94904 Phone: 415-258-9894 | |
Jeffrey Scott Chen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 College Ave, Kentfield, CA 94904 Phone: 415-258-9894 | |
Marin Sport And Spine Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 College Ave, Suite 6, Kentfield, CA 94904 Phone: 415-614-0590 |