| Eralyn San Luis, | |
|
19123 Welby Way, Reseda, CA 91335-5025 | |
| (818) 854-2685 | |
| Not Available |
| Full Name | Eralyn San Luis |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 19123 Welby Way, Reseda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205489796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8091 (California) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962001446 PECOS PAC ID: 2365359932 Enrollment ID: O20140731000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Eralyn San Luis, 19123 Welby Way, Reseda, CA 91335-5025 Ph: () - | Eralyn San Luis, 19123 Welby Way, Reseda, CA 91335-5025 Ph: (818) 854-2685 |
Emily Dassow, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6710 Yolanda Ave, Reseda, CA 91335 Phone: 818-308-5081 | |
Kiana Phillips, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18050 Vanowen St, Reseda, CA 91335 Phone: 818-888-4559 | |
Amy Istrin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18050 Vanowen St, Reseda, CA 91335 Phone: 818-917-9580 | |
Ms. Julia Ane Letts, MA, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7100 Tunney Ave, Reseda, CA 91335 Phone: 818-687-8875 Fax: 818-344-9045 | |
Aditi Shringarpure, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7120 Corbin Ave, Reseda, CA 91335 Phone: 818-881-4540 | |
Sheila Canales, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7915 Lindley Ave, Reseda, CA 91335 Phone: 818-708-4948 Fax: 818-708-7899 |