| Mr Arlie B Haviland, OT/L | |
|
72201 Country Club Dr, Rancho Mirage, CA 92270-4001 | |
| (760) 340-5999 | |
| Not Available |
| Full Name | Mr Arlie B Haviland |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 72201 Country Club Dr, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518294511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2309 (California) | Primary |
| 225XH1200X | Occupational Therapist - Hand | OT2309 (California) | Secondary |
| Provider Name | San Bernardino Medical Orthopaedic Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336187475 PECOS PAC ID: 9335045228 Enrollment ID: O20040303001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Arlie B Haviland, OT/L 37281 Wildwood View Dr, Yucaipa, CA 92399-9537 Ph: (909) 790-9599 | Mr Arlie B Haviland, OT/L 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 Ph: (760) 340-5999 |
Mrs. Kimberly A Oles, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39950 Vista Del Sol, Rancho Mirage, CA 92270 Phone: 760-340-0053 | |
Therapy Time Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 La Costa Dr, Rancho Mirage, CA 92270 Phone: 909-632-6409 | |
Ms. Judith Young Kim, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 72201 Country Club Dr, Rancho Mirage, CA 92270 Phone: 760-340-5999 | |
Miss Katherine Magdalena Kwiecinska, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 72201 Country Club Dr, Rancho Mirage, CA 92270 Phone: 760-340-5999 | |
Abbie Gail Herndon, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 72201 Country Club Dr, Rancho Mirage, CA 92270 Phone: 760-340-5999 | |
Miss Nanci Raquel Galeano, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 72-201 Country Club Drive, Rancho Mirage, CA 92270 Phone: 760-340-5999 Fax: 760-341-9972 | |
Melinda Wang, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 72201 County Club Drive, Rancho Mirage, CA 92270 Phone: 760-340-5999 Fax: 760-340-5999 |