| Noelle Brianna Connor, OT | |
|
150 S Mary Ave Ste 1, Nipomo, CA 93444-7821 | |
| (805) 929-3230 | |
| (805) 929-3232 |
| Full Name | Noelle Brianna Connor |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 14 Years |
| Location | 150 S Mary Ave Ste 1, Nipomo, 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 |
|---|---|---|---|
| 1528322369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT12608 (California) | Primary |
| 225XH1200X | Occupational Therapist - Hand | OT12608 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Hand And Occupational Therapy Inc | 9133594237 | 4 |
| Provider Name | Coastal Hand & Occupational Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366157877 PECOS PAC ID: 9133594237 Enrollment ID: O20230403001366 |
| Mailing Address | Practice Location Address |
|---|---|
| Noelle Brianna Connor, OT 1111 S Broadway Ste 203, Santa Maria, CA 93454-6682 Ph: (805) 922-1711 | Noelle Brianna Connor, OT 150 S Mary Ave Ste 1, Nipomo, CA 93444-7821 Ph: (805) 929-3230 |
Leslie Diane Huitron, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 S Mary Ave Ste 1, Nipomo, CA 93444 Phone: 805-929-3230 Fax: 805-929-3232 | |
Mrs. Kerren D Brown, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1748 Northwood Rd, Nipomo, CA 93444 Phone: 805-219-0244 | |
Julie Ann Fletcher, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 177 Mary Ave, Nipomo, CA 93444 Phone: 805-600-3366 |