| Providence Rehab Group, Inc. | |
|
3230 Carlson Blvd, El Cerrito, CA 94530-3907 | |
| (510) 525-3212 | |
| Not Available |
| Full Name | Providence Rehab Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3230 Carlson Blvd, El Cerrito, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891307112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Rehab Group, Inc. Po Box 5215, Novato, CA 94948-5215 Ph: (415) 225-0126 | Providence Rehab Group, Inc. 3230 Carlson Blvd, El Cerrito, CA 94530-3907 Ph: (510) 525-3212 |
Robert G Huey, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 425 Kearney St, El Cerrito, CA 94530 Phone: 510-524-2177 Fax: 510-525-2875 | |
Donna L Morton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 425 Kearney St, El Cerrito, CA 94530 Phone: 510-524-2177 | |
Sean Pournia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 425 Kearney St, El Cerrito, CA 94530 Phone: 510-524-2177 | |
Ms. Meridi Lee Williams, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Kearney St, El Cerrito, CA 94530 Phone: 510-524-2177 Fax: 510-525-2875 | |
Elizabeth Forma, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Kearney St, El Cerrito, CA 94530 Phone: 510-524-2177 | |
Surn-lee Yek, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 425 Kearney St, El Cerrito, CA 94530 Phone: 510-524-2177 | |
Marilyn A Collier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Kearney St, El Cerrito, CA 94530 Phone: 510-524-2177 Fax: 510-525-2875 |