Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 975 Ley Road, Felton, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336991546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Matthew P Davis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316417603 PECOS PAC ID: 1850638529 Enrollment ID: I20190204001610 |
Provider Name | Rachel Rose-murphy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336970193 PECOS PAC ID: 4880128198 Enrollment ID: I20241108003027 |
Mailing Address | Practice Location Address |
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975 Ley Road, Felton, CA 95018 Ph: (831) 331-0812 | 975 Ley Road, Felton, CA 95018 Ph: (831) 331-0812 |