| Mourning Glory Club Inc | |
|
7 Fleet St Apt 108, Marina Del Rey, CA 90292-5731 | |
| (646) 436-5976 | |
| Not Available |
| Full Name | Mourning Glory Club Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Mental Health |
| Location | 7 Fleet St Apt 108, Marina Del Rey, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912712381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mourning Glory Club Inc 7 Fleet St Apt 108, Marina Del Rey, CA 90292-5731 Ph: (646) 436-5976 | Mourning Glory Club Inc 7 Fleet St Apt 108, Marina Del Rey, CA 90292-5731 Ph: (646) 436-5976 |
Dr. Sarah Houchin, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292 Phone: 424-526-5151 | |
Michele Swalec, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14010 Captains Row, #227, Marina Del Rey, CA 90292 Phone: 310-904-3462 | |
Penelpe Fletcher Daily, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13924 Marquesas Way Apt 1126, Marina Del Rey, CA 90292 Phone: 310-715-9174 | |
Sue Song, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292 Phone: 424-526-5151 Fax: 424-835-6475 | |
Alexis Nalbach, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13900 Panay Way Apt R218, Marina Del Rey, CA 90292 Phone: 909-576-0307 |