| Mrs Susanne Af Eidal, DPT | |
|
2251 Country Club Ln, Selma, CA 93662-3859 | |
| (559) 819-8696 | |
| (559) 819-8921 |
| Full Name | Mrs Susanne Af Eidal |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2251 Country Club Ln, Selma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912043969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 32571 (California) | Primary |
| Provider Name | Precision Rehabilitation & Orthopedic Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1275564296 PECOS PAC ID: 3476465774 Enrollment ID: O20031104000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susanne Af Eidal, DPT 2251 Country Club Ln, Selma, CA 93662-3859 Ph: (559) 819-8696 | Mrs Susanne Af Eidal, DPT 2251 Country Club Ln, Selma, CA 93662-3859 Ph: (559) 819-8696 |
William Lauder, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2251 Country Club Ln, Selma, CA 93662 Phone: 559-896-6565 | |
Juan Francisco Trejo Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2251 Country Club Ln, Selma, CA 93662 Phone: 559-896-6565 Fax: 559-896-5740 | |
Mr. Peter R Erickson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2251 Country Club Lane, Selma, CA 93662 Phone: 559-896-6565 Fax: 559-896-5740 | |
Christian Sanders, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2660 Whitson St, Selma, CA 93662 Phone: 559-896-6565 Fax: 559-896-6565 | |
Miranda Hiett, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2251 Country Club Ln, Selma, CA 93662 Phone: 559-819-8696 Fax: 559-819-8921 | |
Mr. Courtney Joseph Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2251 Country Club Lane, Selma, CA 93662 Phone: 559-896-6565 Fax: 559-896-5740 |