| Mrs Jean Fabruada Crow, OTR | |
|
1955 Lomita Blvd, Lomita, CA 90717-1807 | |
| (310) 325-1970 | |
| Not Available |
| Full Name | Mrs Jean Fabruada Crow |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1955 Lomita Blvd, Lomita, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245444553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 6324 (California) | Primary |
| Provider Name | New Life Physical Therapy Services Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jean Fabruada Crow, OTR 962 1st St, Unit B, Hermosa Beach, CA 90254-5321 Ph: (310) 376-3001 | Mrs Jean Fabruada Crow, OTR 1955 Lomita Blvd, Lomita, CA 90717-1807 Ph: (310) 325-1970 |
Ms. Danan Huynh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26303 Western Ave, Lomita, CA 90717 Phone: 310-784-5440 | |
Ellie Mary Pavlov Krause, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2040 Pacific Coast Hwy, Lomita, CA 90717 Phone: 310-257-6408 | |
Susana Morell Dornberg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Pacific Coast Hwy, Lomita, CA 90717 Phone: 310-920-2302 | |
Mrs. Lauren Becker Haponski, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 W. Pacific Coast Hwy, Lomita, CA 90717 Phone: 310-257-6420 | |
Jessica Bahnan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26404 Rolling Vista Dr, Lomita, CA 90717 Phone: 310-993-4656 | |
Riza Bernal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1856 247th Pl, Lomita, CA 90717 Phone: 310-384-5932 |