Mr Charles Scott Fuqua, REGISTERED PHYSICAL | |
6560 Greenback Lane, # 100, Citrus Heights, CA 95621 | |
(916) 723-3372 | |
(916) 722-5098 |
Full Name | Mr Charles Scott Fuqua |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6560 Greenback Lane, Citrus Heights, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730267071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9856 (California) | Primary |
Provider Name | Burger Physical Therapy Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356352082 PECOS PAC ID: 8921019746 Enrollment ID: O20060508001012 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Scott Fuqua, REGISTERED PHYSICAL 6560 Greenback Lane, # 100, Citrus Heights, CA 95621 Ph: (916) 723-3372 | Mr Charles Scott Fuqua, REGISTERED PHYSICAL 6560 Greenback Lane, # 100, Citrus Heights, CA 95621 Ph: (916) 723-3372 |
Brian F Dunn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6560 Greenback Ln, Citrus Heights, CA 95621 Phone: 916-723-3372 | |
Mr. Gregory Albert Carr, REGISTERED PHYSICAL Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6560 Greenback Lane, #100, Citrus Heights, CA 95621 Phone: 916-723-3372 Fax: 916-722-5098 | |
Mrs. Karyn Danette Wood, REGISTERED PHYSICAL Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6560 Greenback Lane, #100, Citrus Heights, CA 95621 Phone: 916-723-3372 Fax: 916-722-5098 | |
Mr. Steve Arnold Thrall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6560 Greenback Lane, Ste 100, Citrus Heights, CA 95621 Phone: 916-723-3372 Fax: 916-723-1638 | |
Renee Edwards, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6390 Oakcreek Way, Citrus Heights, CA 95621 Phone: 916-622-5598 | |
Vista Child Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7579 Old Auburn Road, Citrus Heights, CA 95610 Phone: 916-726-0155 Fax: 916-726-6724 | |
Edward Tapiador Santiago, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7181 Canelo Hills Dr, Citrus Heights, CA 95610 Phone: 916-722-7225 |