Tracey Lynn Bledsoe, DPT | |
262 Sheffield Way, American Canyon, CA 94503-1357 | |
(707) 567-1302 | |
Not Available |
Full Name | Tracey Lynn Bledsoe |
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Gender | Female |
Speciality | Physical Therapist |
Location | 262 Sheffield Way, American Canyon, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043672058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 42837 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Tracey Lynn Bledsoe, DPT 262 Sheffield Way, American Canyon, CA 94503-1357 Ph: (707) 567-1302 | Tracey Lynn Bledsoe, DPT 262 Sheffield Way, American Canyon, CA 94503-1357 Ph: (707) 567-1302 |
Meridian Physical Therapy & Rehabilitation Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3419 Broadway St, Suite H-10, American Canyon, CA 94503 Phone: 707-648-3144 Fax: 707-644-0630 | |
Active Rehab Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3419 Broadway St, Suite H-10, American Canyon, CA 94503 Phone: 707-648-3144 Fax: 707-644-0630 | |
Mrs. Grace Serrano Larcena, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Canyon Creek Dr, American Canyon, CA 94503 Phone: 707-319-9097 |