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2079 Orange Tree Ln, Redlands, CA 92374-2849 | |
| (909) 435-5729 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2079 Orange Tree Ln, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740957521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Brent Wild |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346638707 PECOS PAC ID: 3375868417 Enrollment ID: I20150211001724 |
| Provider Name | Raymond Phillip Ruiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851047914 PECOS PAC ID: 6800281817 Enrollment ID: I20220309001745 |
| Provider Name | Kyle Keller |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1437874641 PECOS PAC ID: 6305214248 Enrollment ID: I20221123002868 |
| Provider Name | Kyle Keller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437874641 PECOS PAC ID: 6305214248 Enrollment ID: I20240621000536 |
| Mailing Address | Practice Location Address |
|---|---|
2079 Orange Tree Ln, Redlands, CA 92374-2849 Ph: (909) 435-5729 | 2079 Orange Tree Ln, Redlands, CA 92374-2849 Ph: (909) 435-5729 |
Elizabeth Shirley Cavazos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Terracina Blvd, 202, Redlands, CA 92373 Phone: 909-792-9737 Fax: 909-798-8749 | |
Kunal Palta, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27431 San Bernardino Ave Apt 275, Redlands, CA 92374 Phone: 951-208-3636 | |
Melanie E. Fernando-reid, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1189 W State St, Redlands, CA 92373 Phone: 909-307-9121 Fax: 909-307-9161 | |
Inland Healthcare Management Group Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 256 Cajon St Ste G, Redlands, CA 92373 Phone: 909-810-0185 | |
Richard Lind, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Barton Rd, Ste B, Redlands, CA 92373 Phone: 909-255-1694 Fax: 909-307-0273 | |
Ms. Kristen Louise Sanders Wellborn, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 347 Arrowview Dr, Redlands, CA 92373 Phone: 909-793-9130 | |
Ahmad Salem, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Barton Rd Ste B, Redlands, CA 92373 Phone: 909-255-1694 Fax: 909-664-2313 |