Gabriela Tinoco McLean, DPT

Individual provider Active NPI Physical Therapist · Beale Afb, CA

NPI 1275855330 · NPPES record last updated Apr 20, 2021

Key facts

NPI
1275855330
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
35209 (CA)
Practice address
15301 Warren Shingle Rd
Beale Afb, CA 95903-1905
Phone
(530) 634-4199
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT35209CAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT35209 CA
Physical Therapist 225100000X
Physical Therapist 225100000X 35209 CA Yes

Addresses

Primary practice location

15301 Warren Shingle Rd
Beale Afb, CA 95903-1905

Mailing address

15301 Warren Shingle Rd
Beale Afb, CA 95903-1905
Phone (530) 634-2941

Other names

  • Gabriela Tinoco Daniels Former name

Other providers in Beale Afb, CA

All providers in Beale Afb, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.