| Watson Sports Performance & Rehabilitation | |
|
1000 Calle Amanecer, San Clemente, CA 92673-6214 | |
| (949) 481-9113 | |
| (949) 481-9124 |
| Full Name | Watson Sports Performance & Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 1000 Calle Amanecer, San Clemente, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437732120 | NPI | - | NPPES |
| Provider Name | Ricardo Hernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740999739 PECOS PAC ID: 9133591977 Enrollment ID: I20230203002727 |
| Mailing Address | Practice Location Address |
|---|---|
| Watson Sports Performance & Rehabilitation 1000 Calle Amanecer, San Clemente, CA 92673-6214 Ph: (949) 481-9113 | Watson Sports Performance & Rehabilitation 1000 Calle Amanecer, San Clemente, CA 92673-6214 Ph: (949) 481-9113 |
Amy Sadek, PHD, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Calle Amanecer Ste A, San Clemente, CA 92673 Phone: 949-498-5100 | |
Dee Marszal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100 Fax: 949-366-5665 | |
Amy Moss, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Calle Amanecer Ste A, San Clemente, CA 92673 Phone: 949-498-5100 | |
Macy Fraser Clark, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100 | |
Lauren Wynne, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 W Avenida Cordoba, San Clemente, CA 92672 Phone: 949-973-2983 | |
Malia Ertel, OTR/L, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100 | |
Kelly Yang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 653 Camino De Los Mares Ste 110, San Clemente, CA 92673 Phone: 949-496-0122 Fax: 949-496-5027 |