| Ms Laurie Carol Hettinga, DPT | |
|
948 San Pablo Ave, Albany, CA 94706-2010 | |
| (510) 414-7191 | |
| (510) 526-2022 |
| Full Name | Ms Laurie Carol Hettinga |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 948 San Pablo Ave, Albany, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164605432 | NPI | - | NPPES |
| 5540HE | Other | WA | BLUE SHIELD # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00010816 (Washington) | Primary |
| Provider Name | California Sports Physical Therapy Centers Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1467436329 PECOS PAC ID: 7618956889 Enrollment ID: O20050707001097 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Laurie Carol Hettinga, DPT 925 Seneca St, Box 900, Seattle, WA 98101-2742 Ph: (206) 341-0461 | Ms Laurie Carol Hettinga, DPT 948 San Pablo Ave, Albany, CA 94706-2010 Ph: (510) 414-7191 |
Damon Cianci, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 948 San Pablo Ave, Albany, CA 94706 Phone: 510-526-2353 Fax: 510-526-2022 | |
Andrea Clark, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 531 Madison St, Albany, CA 94706 Phone: 510-847-1496 | |
Daniel E Abruzzi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 948 San Pablo Ave, Albany, CA 94706 Phone: 510-526-2353 Fax: 510-526-2022 | |
Sita Shijie Sweet Wong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 718 Evelyn Ave, Albany, CA 94706 Phone: 510-847-8414 | |
Physical Therapy Innovations, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1311 Portland Ave, Albany, CA 94706 Phone: 510-524-2177 Fax: 510-525-2875 | |
Gregory Shultz Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 San Pablo Ave, Albany, CA 94706 Phone: 510-880-3768 |