| Ms Tiffany Nana Davis, MSOT, OTR/L | |
|
5360 Jackson Dr Ste 110, La Mesa, CA 91942-3012 | |
| (858) 755-5200 | |
| Not Available |
| Full Name | Ms Tiffany Nana Davis |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 5360 Jackson Dr Ste 110, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427634724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 22168 (California) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | (* (Not Available)) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tiffany Nana Davis, MSOT, OTR/L 11736 Carmel Creek Rd Apt 201, San Diego, CA 92130-6616 Ph: (773) 459-1074 | Ms Tiffany Nana Davis, MSOT, OTR/L 5360 Jackson Dr Ste 110, La Mesa, CA 91942-3012 Ph: (858) 755-5200 |
Angela Rae Carter, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9111 Fletcher Dr, La Mesa, CA 91941 Phone: 619-741-8676 | |
Ms. Wendy L. Hill, OTL,CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5360 Jackson Dr, Suite 110, La Mesa, CA 91942 Phone: 619-667-7000 Fax: 619-667-4315 | |
Mrs. Amy Lack, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5360 Jackson Dr, La Mesa, CA 91942 Phone: 858-755-5200 | |
Vivienne Baker, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 Murray Dr, La Mesa, CA 91942 Phone: 619-209-0449 | |
Laura Maurer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8380 Center Dr Ste E, La Mesa, CA 91942 Phone: 619-466-6077 | |
Michelle Perkins, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5480 Marengo Ave, La Mesa, CA 91942 Phone: 619-463-0281 | |
Lauren Goetz, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8665 La Mesa Blvd, La Mesa, CA 91942 Phone: 419-779-7057 |