Sue Song, OTR | |
4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 | |
(424) 526-5151 | |
(424) 835-6475 |
Full Name | Sue Song |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 4640 Admiralty Way Ste 420, Marina Del Rey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891451480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 25057 (California) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Select Cs Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
Mailing Address | Practice Location Address |
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Sue Song, OTR 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 Ph: () - | Sue Song, OTR 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 Ph: (424) 526-5151 |
Michele Swalec, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14010 Captains Row, #227, Marina Del Rey, CA 90292 Phone: 310-904-3462 | |
Penelpe Fletcher Daily, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13924 Marquesas Way Apt 1126, Marina Del Rey, CA 90292 Phone: 310-715-9174 | |
Alexis Nalbach, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13900 Panay Way Apt R218, Marina Del Rey, CA 90292 Phone: 909-576-0307 |