Brianne Melancon, | |
47372 Poppy Ln, La Quinta, CA 92253-8313 | |
(985) 804-1921 | |
Not Available |
Full Name | Brianne Melancon |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 47372 Poppy Ln, La Quinta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992519268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT27238 (California) | Primary |
Provider Name | Mdrs Spine & Sport Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
Mailing Address | Practice Location Address |
---|---|
Brianne Melancon, 47372 Poppy Ln, La Quinta, CA 92253-8313 Ph: () - | Brianne Melancon, 47372 Poppy Ln, La Quinta, CA 92253-8313 Ph: (985) 804-1921 |
Todd Fader, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253 Phone: 760-771-9054 Fax: 760-771-9057 | |
Frances Palmer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 51321 Avenida Bermudas, 1655, La Quinta, CA 92247 Phone: 760-564-8121 | |
Veronica Ennis, OTD, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253 Phone: 760-771-9054 Fax: 760-771-9057 | |
Aegis Group Practice Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45190 Seeley Dr, La Quinta, CA 92253 Phone: 760-625-7463 Fax: 479-935-8762 | |
Aegis Group Practice, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45160 Seeley Dr, La Quinta, CA 92253 Phone: 800-444-6845 Fax: 479-478-2852 | |
Aaron David Miller, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253 Phone: 760-771-9054 Fax: 760-771-9057 |