Ms Marta M Husted, PT | |
2500 Merced St, San Leandro, CA 94577-4201 | |
(510) 454-1000 | |
Not Available |
Full Name | Ms Marta M Husted |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2500 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669532081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 21589 (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 |
---|---|
Ms Marta M Husted, PT 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 | Ms Marta M Husted, PT 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Ms. Ingvild Benedicte Gasmann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-3197 Fax: 510-481-6327 | |
Ernesto Jasso, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Adrian Samuel Girardeau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14537 Santiago Rd, San Leandro, CA 94577 Phone: 510-734-9708 | |
Byron Maigue Romero, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, San Leandro, CA 94577 Phone: 510-454-1000 | |
Pattie Whitehurst, DPT,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13939 E 14th St Ste 150, San Leandro, CA 94578 Phone: 510-343-8300 | |
Ms. Leeanne Craft, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-675-3241 | |
Kathleen Edmunds1, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1850 Fairway Dr, San Leandro, CA 94577 Phone: 510-435-4708 |