| Providence Physical Therapy, Inc | |
|
3550 E Philadelphia St, Suite # 155, Ontario, CA 91761-2962 | |
| (909) 773-0022 | |
| (866) 672-8222 |
| Full Name | Providence Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3550 E Philadelphia St, Ontario, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417175175 | NPI | - | NPPES |
| BL#67598 | Other | CA | BUSINESS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 15402 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Physical Therapy, Inc 3550 E Philadelphia St, Suite # 155, Ontario, CA 91761-2962 Ph: (909) 773-0022 | Providence Physical Therapy, Inc 3550 E Philadelphia St, Suite # 155, Ontario, CA 91761-2962 Ph: (909) 773-0022 |
Mr. Allan P. Dizon, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1950 S Mountain Ave, Ontario, CA 91762 Phone: 909-467-6183 Fax: 909-983-5814 | |
Raheela A James, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1101 S Milliken Ave, Suite B, C, D, Ontario, CA 91761 Phone: 615-778-4066 | |
Christine M Nator, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1101 S Milliken Ave, Suite B,c,d, Ontario, CA 91761 Phone: 615-778-4066 | |
Sarah Elise Nowosad, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 833-574-2273 | |
Brian Huang, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 909-724-5000 | |
Fannyjane Dural, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 626-318-8471 | |
Chinmay Patel, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 S Mountain Avenue Unite A, Ontario, CA 91762 Phone: 262-327-1535 |