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525 S Fairmont Ave, Suite G, Lodi, CA 95240-3860 | |
| (209) 339-1690 | |
| (209) 339-1693 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 525 S Fairmont Ave, Lodi, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669873782 | NPI | - | NPPES |
| ZZZ23015Z | Other | CA | PROVIDER (PTAN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225XH1200X | Occupational Therapist - Hand | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
534 E Pine St, Suite A, Stockton, CA 95204-5536 Ph: (209) 463-5800 | 525 S Fairmont Ave, Suite G, Lodi, CA 95240-3860 Ph: (209) 339-1690 |
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: Medicare Enrolled Practice Location: 2000 W Kettleman Ln Ste 106, Lodi, CA 95242 Phone: 209-207-0849 | |
Dr. Bowen James Terra, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 S Ham Ln # B, Lodi, CA 95242 Phone: 209-368-7433 | |
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 |