Alexis Tucker, OTR-L, CHT | |
4626 Willow Road, Pleasanton, CA 94588-8547 | |
(925) 463-0470 | |
(925) 463-0473 |
Full Name | Alexis Tucker |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Hand |
Location | 4626 Willow Road, Pleasanton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255499901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | 15159 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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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 |
---|---|
Alexis Tucker, OTR-L, CHT 4626 Willow Road, 200, Pleasanton, CA 94588-8547 Ph: (925) 463-0470 | Alexis Tucker, OTR-L, CHT 4626 Willow Road, Pleasanton, CA 94588-8547 Ph: (925) 463-0470 |
Jocelyn Ortico Dajon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Ray St, Pleasanton, CA 94566 Phone: 925-399-5796 Fax: 925-249-5121 | |
Zaira Penaloza, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 Koll Center Pkwy Ste 250, Pleasanton, CA 94566 Phone: 925-500-8383 | |
Barbara Mccarrick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8265 Fondray Ct, Pleasanton, CA 94566 Phone: 925-484-2883 Fax: 925-484-0835 | |
Mr. Alex Schwarga, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Stoneridge Dr, Pleasanton, CA 94588 Phone: 925-201-4050 | |
Barbara R Fong, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Jennifer Wittenauer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Ray St, Pleasanton, CA 94566 Phone: 925-399-5796 |