| Mrs Sandra Thomspon Chetelat, PT | |
|
26571 St. Hwy 18, Suite B, Rimforest, CA 92378-0010 | |
| (909) 337-4192 | |
| (909) 336-1982 |
| Full Name | Mrs Sandra Thomspon Chetelat |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 26571 St. Hwy 18, Rimforest, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417016379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 8591 (California) | Primary |
| Provider Name | Registered Physical Therapy Providers, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093873887 PECOS PAC ID: 4486800596 Enrollment ID: O20120806000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandra Thomspon Chetelat, PT Po Box 963, Skyforest, CA 92385-0963 Ph: (909) 337-2521 | Mrs Sandra Thomspon Chetelat, PT 26571 St. Hwy 18, Suite B, Rimforest, CA 92378-0010 Ph: (909) 337-4192 |
Registered Physical Therapy Providers, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 26571 St. Hwy 18, Suite B, Rimforest, CA 92378 Phone: 909-337-4192 Fax: 909-336-1982 | |
Mr. C. Spencer Beeman, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26571 St. Hwy. 18, Suite B, Rimforest, CA 92378 Phone: 909-337-4192 Fax: 909-336-1982 | |
Mrs. Della Rose Utt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26571 Highway 18, Suite B, Rimforest, CA 92378 Phone: 909-337-4192 Fax: 909-336-1982 |