| Christopher Walsh, | |
|
1990 Fruitdale Ave, San Jose, CA 95128-2795 | |
| (408) 998-8447 | |
| Not Available |
| Full Name | Christopher Walsh |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1990 Fruitdale Ave, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073043832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 27594 (California) | Primary |
| 225X00000X | Occupational Therapist | 17258 (North Carolina) | Secondary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Walsh, 101 Rainbow Dr Pmb 5124, Livingston, TX 77399-1051 Ph: (502) 417-0273 | Christopher Walsh, 1990 Fruitdale Ave, San Jose, CA 95128-2795 Ph: (408) 998-8447 |
Marjereen Mirabueno, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 459 Mignot Ln, San Jose, CA 95111 Phone: 650-814-0720 |
Leisla Yahaira Bernal Avila, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 730 Empey Way, San Jose, CA 95128 Phone: 408-275-1500 |
Mrs. Judith Wolf Ivan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5998 Pilgrim Ave, San Jose, CA 95129 Phone: 408-252-9086 |
Liza Bacal, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 N 13th St, San Jose, CA 95112 Phone: 408-295-2665 |
Alyshia Ayn Abraham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1327 Hillcrest Dr, San Jose, CA 95120 Phone: 408-649-5745 |
Jerilyn Smith, OTR SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Las Colinas Ln, San Jose, CA 95119 Phone: 408-284-2812 Fax: 408-284-2875 |
Miss Mary-lynn Zweers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 The Alameda, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273 |