| Amer De Veyra, PT, DPT | |
|
230 S Main St Ste 200, Orange, CA 92868-3851 | |
| (714) 937-2100 | |
| Not Available |
| Full Name | Amer De Veyra |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 230 S Main St Ste 200, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891594347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 306949 (California) | Primary |
| Provider Name | State College Physical Therapy Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689782310 PECOS PAC ID: 2769454388 Enrollment ID: O20040812000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Amer De Veyra, PT, DPT 1524 E Briardale Ave, Orange, CA 92865-4646 Ph: () - | Amer De Veyra, PT, DPT 230 S Main St Ste 200, Orange, CA 92868-3851 Ph: (714) 937-2100 |
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