| Ms Elizabeth Gormley Gomes, MS OTR | |
|
4922 Rincon Ave, Santa Rosa, CA 95409-2520 | |
| (707) 292-4693 | |
| Not Available |
| Full Name | Ms Elizabeth Gormley Gomes |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4922 Rincon Ave, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033325832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3009 (California) | Primary |
| Provider Name | Prodigy Rehabilitation Group Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790382505 PECOS PAC ID: 3870903297 Enrollment ID: O20201113000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Elizabeth Gormley Gomes, MS OTR 4922 Rincon Ave, Santa Rosa, CA 95409-2520 Ph: (707) 292-4693 | Ms Elizabeth Gormley Gomes, MS OTR 4922 Rincon Ave, Santa Rosa, CA 95409-2520 Ph: (707) 292-4693 |
Mrs. Sonoe M Oft, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5300 | |
Aaron Calderon, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3751 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-1250 | |
Carolyn Bartlett, O.T., C.H.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 | |
Harris And Leibert Group Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Leonard Ave, Santa Rosa, CA 95405 Phone: 707-542-5558 | |
Mrs. Margaret Frances Kuhl, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4210 Thomas Lake Harris Dr, Santa Rosa, CA 95403 Phone: 800-967-4667 | |
Heather August, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1280 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-539-1515 |