| Tracy L Malan Rpt Apc | |
|
525 Melissa Ave, Ste B, Barstow, CA 92311-3002 | |
| (760) 256-1888 | |
| (760) 256-2893 |
| Full Name | Tracy L Malan Rpt Apc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 525 Melissa Ave, Barstow, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528083227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT12940 (California) | Primary |
| Provider Name | Tracy Leland Malan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154323020 PECOS PAC ID: 0143203794 Enrollment ID: I20040614000342 |
| Provider Name | Vernon G Spidle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962436808 PECOS PAC ID: 5395939003 Enrollment ID: I20101027000123 |
| Provider Name | Keith Ganzon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538449368 PECOS PAC ID: 2466607320 Enrollment ID: I20130226000027 |
| Provider Name | Marte F Asumen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396105532 PECOS PAC ID: 2163720608 Enrollment ID: I20160415001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy L Malan Rpt Apc 525 Melissa Ave, Ste B, Barstow, CA 92311-3002 Ph: (760) 256-1888 | Tracy L Malan Rpt Apc 525 Melissa Ave, Ste B, Barstow, CA 92311-3002 Ph: (760) 256-1888 |
Mr. Tracy L Malan, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 525 Melissa Ave, Ste B, Barstow, CA 92311 Phone: 760-256-1888 Fax: 760-256-2893 | |
Sara Jean Seitz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 Melissa Ave, Barstow, CA 92311 Phone: 760-256-1888 Fax: 760-244-4288 | |
Jennifer Robin Hudson, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 E Virginia Way, Suite N, Barstow, CA 92311 Phone: 760-256-9243 Fax: 760-256-4069 | |
Ms. Sherri K Szabo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 Melissa Ave, Suite B, Barstow, CA 92311 Phone: 760-256-1888 Fax: 760-256-2893 | |
Marte Asumen, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 525 Melissa Ave Ste B, Barstow, CA 92311 Phone: 760-256-1888 | |
William Howard Hudson, R.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 E Virginia Way, Suite N, Barstow, CA 92311 Phone: 760-256-9243 |