| Pacific Kids Occupational Therapy, Pc | |
|
33912 Violet Lantern St Apt B, Dana Point, CA 92629-5366 | |
| (608) 279-1491 | |
| Not Available |
| Full Name | Pacific Kids Occupational Therapy, Pc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 33912 Violet Lantern St Apt B, Dana Point, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487543104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Kids Occupational Therapy, Pc Po Box 276, Dana Point, CA 92629-0276 Ph: (608) 279-1491 | Pacific Kids Occupational Therapy, Pc 33912 Violet Lantern St Apt B, Dana Point, CA 92629-5366 Ph: (608) 279-1491 |
Mark Vincent De Cecco, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25411 Sea Bluffs Dr, Dana Point, CA 92629 Phone: 949-541-2232 | |
Mr. Carey Jamison Bornhagen, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24242 La Cresta Dr, Dana Point, CA 92629 Phone: 949-496-3363 | |
Aansi Shukla, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 32565 Golden Lantern St Ste B270, Dana Point, CA 92629 Phone: 657-266-6019 | |
Mrs. Lynn Marie Kyne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34016 Violet Lantern St Apt A, Dana Point, CA 92629 Phone: 949-280-4459 | |
Mrs. Tiffany Kelley Sampson, OTR L, BCP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24242 La Cresta Dr, Dana Point, CA 92629 Phone: 949-496-3363 |