| Golden State Physical Therapy Inc | |
|
565 Brunswick Rd, Grass Valley, CA 95945-9392 | |
| (530) 273-4152 | |
| (530) 273-4153 |
| Full Name | Golden State Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Hand |
| Location | 565 Brunswick Rd, Grass Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114909629 | NPI | - | NPPES |
| 102476 | Other | FIRST HEALTH | |
| ZZ08937Z | Other | BLUE SHIELD |
| Mailing Address | Practice Location Address |
|---|---|
| Golden State Physical Therapy Inc Po Box 612260, San Jose, CA 95161-2260 Ph: (877) 325-2776 | Golden State Physical Therapy Inc 565 Brunswick Rd, Grass Valley, CA 95945-9392 Ph: (530) 273-4152 |
Catari Lacorazza, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Richardson St Unit 7, Grass Valley, CA 95945 Phone: 530-559-1762 | |
Ms. Amber Christine Brose, BS, MOT, SWC, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 415 Sierra College Dr, Grass Valley, CA 95945 Phone: 530-272-8002 | |
Carianne Boucher, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Sierra College Dr Ste 165, Grass Valley, CA 95945 Phone: 530-274-2320 | |
Lena Casolo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 S School St, Grass Valley, CA 95945 Phone: 510-703-3015 Fax: 510-703-3015 | |
Mr. Sam P. Wipf, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 396 Dorsey Dr, Grass Valley, CA 95945 Phone: 530-272-2273 | |
Wanda G Shiotsuka, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10565 Brunswick Road, Grass Valley, CA 95945 Phone: 530-273-4152 Fax: 530-273-4153 |