| Melissa Trujillo, PT | |
|
2401 W Turner Rd Ste 250, Lodi, CA 95242-2192 | |
| (209) 334-2224 | |
| (209) 334-2225 |
| Full Name | Melissa Trujillo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2401 W Turner Rd Ste 250, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306526249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT304704 (California) | Primary |
| Provider Name | San Luis Physical Therapy & Orthopedic Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073552378 PECOS PAC ID: 7618872946 Enrollment ID: O20040117000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Trujillo, PT 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | Melissa Trujillo, PT 2401 W Turner Rd Ste 250, Lodi, CA 95242-2192 Ph: (209) 334-2224 |
Sharen N Cheathon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225 | |
Eliza R Downs, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225 | |
Rafael Carlos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 W Kettleman Ln Ste 106, Lodi, CA 95242 Phone: 209-207-0849 | |
Piper Lee Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 Fax: 209-368-4219 | |
Nino Otacan Conde, Physical Therapist Medicare: Medicare Enrolled Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 | |
Innovative Senior Rehabilitation Services Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Turner Rd, Lodi, CA 95240 Phone: 209-367-5812 Fax: 209-367-5812 | |
Michael Ray Ballance, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 W Lockeford St, Lodi, CA 95240 Phone: 209-331-7471 Fax: 209-331-7464 |