| Noah Relova, DPT | |
| 1019 S Main St, Manteca, CA 95337-5703 | |
| (209) 624-1002 | |
| Not Available | 
| Full Name | Noah Relova | 
|---|---|
| Gender | Male | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 1019 S Main St, Manteca, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710753256 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 305062 (California) | Primary | 
| Entity Name | Golden Bear Physical Therapy Sports Injury Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Entity Identifiers | NPI Number: 1811084676 PECOS PAC ID: 2961423082 Enrollment ID: O20051215000812 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Noah Relova, DPT 1842 Egret Dr, Tracy, CA 95376-8321 Ph: () - | Noah Relova, DPT 1019 S Main St, Manteca, CA 95337-5703 Ph: (209) 624-1002 | 
| Foad Elahi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1144 Norman Dr, Suite 104, Manteca, CA 95336 Phone: 209-824-4400 Fax: 209-824-4420 | |
| Mrs. Loreli Marie Guillory, BS, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1519 W Yosemite Ave, Manteca, CA 95337 Phone: 209-823-3322 |