| Sonia Ricaporte Killam, OTRL | |
| 
					975 Sereno Dr, Vallejo, CA 94589-2441  | |
| (707) 651-1312 | |
| Not Available | 
| Full Name | Sonia Ricaporte Killam | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist - Neurorehabilitation | 
| Location | 975 Sereno Dr, Vallejo, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962543157 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225XN1300X | Occupational Therapist - Neurorehabilitation | 2481 (California) | Primary | 
| Provider Name | Permanente Medical Group Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sonia Ricaporte Killam, OTRL 568 E J St, Benicia, CA 94510-3434 Ph: () -  | Sonia Ricaporte Killam, OTRL 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1312  | 
Jamie Lutat, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St, Vallejo, CA 94589 Phone: 707-651-1000  | |
Grove, Andersen, Ghiringhelli Physical Therapy A Professional Co Occupational Therapist Medicare: Medicare Enrolled Practice Location: 127 Hospital Dr Ste 101, Vallejo, CA 94589 Phone: 707-552-8795 Fax: 707-552-9638  | |
Mrs. Kianga Tahara Robinson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1439 Farrell St, Vallejo, CA 94590 Phone: 707-556-3227  | |
Mrs. Mara Jones-bey, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1312  | |
Kiley Salak,  Occupational Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2341  | |
Susan Meredith Cooke, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1312  | |
Mrs. Rosalyn Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Lofas Pl, Vallejo, CA 94589 Phone: 916-802-5362  |