| Elizabeth Myhre, | |
|
210 W Pine St, Lodi, CA 95240-2020 | |
| (209) 365-7867 | |
| Not Available |
| Full Name | Elizabeth Myhre |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 210 W Pine St, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639648561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 295812 (California) | Primary |
| Provider Name | Golden Bear Physical Therapy Sports Injury Center Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811084676 PECOS PAC ID: 2961423082 Enrollment ID: O20051215000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Myhre, 631 S Ham Ln, Lodi, CA 95242-3532 Ph: (209) 368-7433 | Elizabeth Myhre, 210 W Pine St, Lodi, CA 95240-2020 Ph: (209) 365-7867 |
Sharen N Cheathon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225 | |
Eliza R Downs, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225 | |
Rafael Carlos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 W Kettleman Ln Ste 106, Lodi, CA 95242 Phone: 209-207-0849 | |
Piper Lee Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 Fax: 209-368-4219 | |
Nino Otacan Conde, Physical Therapist Medicare: Medicare Enrolled Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 | |
Innovative Senior Rehabilitation Services Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Turner Rd, Lodi, CA 95240 Phone: 209-367-5812 Fax: 209-367-5812 | |
Michael Ray Ballance, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 W Lockeford St, Lodi, CA 95240 Phone: 209-331-7471 Fax: 209-331-7464 |