| Celeste Tafolla, | |
|
1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363-8874 | |
| (209) 895-4206 | |
| Not Available |
| Full Name | Celeste Tafolla |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1700 Keystone Pacific Pkwy Unit C2, Patterson, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871317271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 307201 (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 |
|---|---|
| Celeste Tafolla, 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363-8874 Ph: (209) 895-4206 | Celeste Tafolla, 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363-8874 Ph: (209) 895-4206 |
Zaya Ismail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 Keystone Pacific Pkwy, Patterson, CA 95363 Phone: 209-585-8662 | |
Jason Oliveira, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363 Phone: 209-895-4206 | |
Rona Kaye Nagal Hillerman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363 Phone: 209-895-4206 Fax: 209-222-6158 | |
Christopher Evan Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363 Phone: 209-881-9274 | |
Megan Gallagher, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363 Phone: 209-881-9274 |