Philip Thomas Moricone Iv, DPT | |
7264 E Villanueva Dr, Orange, CA 92867-6441 | |
(603) 475-4128 | |
Not Available |
Full Name | Philip Thomas Moricone Iv |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7264 E Villanueva Dr, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407285562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 41090 (California) | Primary |
Provider Name | Terri Bechtel- Greenberg |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417029745 PECOS PAC ID: 4082671284 Enrollment ID: I20041218000167 |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Philip Thomas Moricone Iv, DPT 7264 E Villanueva Dr, Orange, CA 92867-6441 Ph: (603) 475-4128 | Philip Thomas Moricone Iv, DPT 7264 E Villanueva Dr, Orange, CA 92867-6441 Ph: (603) 475-4128 |
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