| Lb Physical Therapy Pc | |
|
820 2nd St, Los Banos, CA 93635-4124 | |
| (209) 826-8623 | |
| (209) 826-1433 |
| Full Name | Lb Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 820 2nd St, Los Banos, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356383913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT13316 (California) | Primary |
| Provider Name | Malcolm D Nation |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770622599 PECOS PAC ID: 2365535937 Enrollment ID: I20130304000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Lb Physical Therapy Pc 820 2nd St, Los Banos, CA 93635-4124 Ph: (209) 826-8623 | Lb Physical Therapy Pc 820 2nd St, Los Banos, CA 93635-4124 Ph: (209) 826-8623 |
Glenn Ernest Fabian, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 | |
Ignacio Protto, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 | |
Neptahli Santarin Parian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 208-827-6179 | |
Susanna Russell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179 | |
Yashesh Goradia, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 301-278-9852 | |
Raymond Bradley Dunne, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 Mercey Springs Rd, Suite A, Los Banos, CA 93635 Phone: 209-829-0444 Fax: 209-829-0445 | |
Mr. Scott Kevin Russell, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179 |