| Mrs Lori Ann Yerian Dentinger, PT | |
|
835 C St Ste 130, Galt, CA 95632-2802 | |
| (209) 745-5802 | |
| (209) 745-5574 |
| Full Name | Mrs Lori Ann Yerian Dentinger |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 835 C St Ste 130, Galt, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699815787 | NPI | - | NPPES |
| PA0164 | Other | CA | ALTA CALIFORNIA REGIONAL |
| PT0015530 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT15530 (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 |
|---|---|
| Mrs Lori Ann Yerian Dentinger, PT 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | Mrs Lori Ann Yerian Dentinger, PT 835 C St Ste 130, Galt, CA 95632-2802 Ph: (209) 745-5802 |
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 835 C St Ste 130, Galt, CA 95632 Phone: 209-745-5802 Fax: 209-745-5574 | |
Miss Mary K Barry, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1067 C St Ste 110, Galt, CA 95632 Phone: 209-745-5802 Fax: 209-745-5574 | |
Nicole Wessel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1067 C St Ste 110, Galt, CA 95632 Phone: 209-745-5802 Fax: 209-745-5574 | |
Nancy Lynne Meesey, Physical Therapist Medicare: Medicare Enrolled Practice Location: 835 C St Ste 130, Galt, CA 95632 Phone: 209-745-5802 Fax: 209-745-5574 | |
Cynthia Vanessa Huerta, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1067 C St Ste 110, Galt, CA 95632 Phone: 209-745-5802 Fax: 209-745-5574 | |
Mr. Nathan S. Hohsfield, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 923 Millson Court, Galt, CA 95632 Phone: 209-251-6272 | |
Mr. Daniel L Lara, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1067 C St, Suite 110, Galt, CA 95632 Phone: 209-745-5802 Fax: 209-745-5574 |