| Spencer Gray, | |
|
5930 Adobe Rd, Twentynine Palms, CA 92277-2356 | |
| (760) 367-1743 | |
| Not Available |
| Full Name | Spencer Gray |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 5930 Adobe Rd, Twentynine Palms, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265298525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTO32046 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| H D P R G Inc | 3678465564 | 12 |
| Provider Name | H D P R G Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295886067 PECOS PAC ID: 3678465564 Enrollment ID: O20040325001759 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Gray, 61962 Sunburst Cir, Joshua Tree, CA 92252-2622 Ph: () - | Spencer Gray, 5930 Adobe Rd, Twentynine Palms, CA 92277-2356 Ph: (760) 367-1743 |
Jennifer Johanne Kozlowski, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Jordan Alexander Clevenger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Paul I Harris, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Naval Hospital Attn Professional Affairs, Bldg 1145 Sturgis Street, Twentynine Palms, CA 92278 Phone: 760-830-2190 | |
Mrs. Patricia Lynn Frank, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Patricia A Sena-bolding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
H.d.p.r.g., Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 Fax: 760-367-1083 |