| Brandon A Wong, | |
|
1401 Dominica Ln, Foster City, CA 94404-3963 | |
| (650) 477-4617 | |
| Not Available |
| Full Name | Brandon A Wong |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 1401 Dominica Ln, Foster City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326772153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 23776 (California) | Primary |
| Provider Name | Premere Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245278639 PECOS PAC ID: 2567434764 Enrollment ID: O20240604000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon A Wong, 373 Pine Ln, Los Altos, CA 94022-1694 Ph: (650) 948-8291 | Brandon A Wong, 1401 Dominica Ln, Foster City, CA 94404-3963 Ph: (650) 477-4617 |
Mrs. Lisa Lee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Sea Horse Ct, Foster City, CA 94404 Phone: 650-888-5240 Fax: 650-577-1667 | |
Anna Do, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 722 Widgeon St, Foster City, CA 94404 Phone: 832-475-8415 | |
Stephanie Kay Erickson, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 Rock Harbor Ln, Foster City, CA 94404 Phone: 312-401-1455 | |
Raquel Rojo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1045 Foster City Blvd Apt B, Foster City, CA 94404 Phone: 915-472-9133 | |
Mrs. Genevieve Kras, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 888 Foster City Blvd Apt U5, Foster City, CA 94404 Phone: 415-595-5819 | |
Aundrea Roberts, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 730 Bounty Dr, Foster City, CA 94404 Phone: 909-614-3983 |