| Kristen M Manecke, OT | |
|
4130 La Jolla Village Dr, Ste 103, La Jolla, CA 92037-9121 | |
| (858) 455-8584 | |
| (858) 455-7302 |
| Full Name | Kristen M Manecke |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 27 Years |
| Location | 4130 La Jolla Village Dr, La Jolla, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003066788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2537 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sd Sports Medicine And Family Health Center | 7113812496 | 34 |
| Provider Name | Sd Sports Medicine And Family Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669472510 PECOS PAC ID: 7113812496 Enrollment ID: O20040315001639 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen M Manecke, OT 4130 La Jolla Village Dr, Ste 103, La Jolla, CA 92037-9121 Ph: (858) 455-8584 | Kristen M Manecke, OT 4130 La Jolla Village Dr, Ste 103, La Jolla, CA 92037-9121 Ph: (858) 455-8584 |
Leslie D Parker, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9350 Campus Point Dr # Ll-d, La Jolla, CA 92037 Phone: 505-917-2867 | |
Barbara A Leslie, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7940 | |
Ms. Lorna Elizabeth Smith, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7440 Girard Ave, La Jolla, CA 92037 Phone: 858-699-3195 | |
Edi Nelson, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7989 La Jolla Shores Dr, La Jolla, CA 92037 Phone: 858-242-2982 | |
Mrs. Julie Lein, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7632 Herschel Ave, La Jolla, CA 92037 Phone: 858-459-7768 | |
Nicholas Gary Scarmazzo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2552 Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-453-5810 |