Stephen Gant, DPT | |
1760 Chicago Ave Ste J3, Riverside, CA 92507-2358 | |
(951) 781-2200 | |
Not Available |
Full Name | Stephen Gant |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1760 Chicago Ave Ste J3, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235709411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 300232 (California) | Primary |
Provider Name | Prime Rehab Center Physical Therapy A Professional Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669914396 PECOS PAC ID: 0749561157 Enrollment ID: O20161223000059 |
Mailing Address | Practice Location Address |
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Stephen Gant, DPT 6974 Carmela Way, Fontana, CA 92336-1491 Ph: (443) 315-6599 | Stephen Gant, DPT 1760 Chicago Ave Ste J3, Riverside, CA 92507-2358 Ph: (951) 781-2200 |
Mrs. Deanna Michelle Vizon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 | |
Anocha Suphol, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Magnolia Ave, Riverside, CA 92501 Phone: 951-274-3524 Fax: 951-274-3442 | |
Lindsay Aho, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 Fax: 951-274-7754 | |
Theodore Ronald Oliver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 Fax: 951-848-9676 | |
Joy Shiba, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 | |
Jason Eric Herrera, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 | |
Kevin Wu, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3421 Arlington Ave Ste 105, Riverside, CA 92506 Phone: 951-684-2865 |