Amanda Nicole Cervantes Fontes, OTR/L | |
1777 W Yosemite Ave, Manteca, CA 95337-5187 | |
(209) 825-3696 | |
Not Available |
Full Name | Amanda Nicole Cervantes Fontes |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1777 W Yosemite Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477068740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 17428 (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 |
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Amanda Nicole Cervantes Fontes, OTR/L 2560 Zinfandel Ln, Turlock, CA 95380-4448 Ph: () - | Amanda Nicole Cervantes Fontes, OTR/L 1777 W Yosemite Ave, Manteca, CA 95337-5187 Ph: (209) 825-3696 |
Oi Lan Jen, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2241 N Union Rd, Manteca, CA 95336 Phone: 800-967-4667 | |
Ms. Eileen Yuko Kumagai, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Eastwood Ave, Manteca, CA 95336 Phone: 209-239-1222 Fax: 209-825-3052 | |
Mr. Clifton James Mackinnon, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1070 Stonum Ln, Manteca, CA 95337 Phone: 209-239-4258 Fax: 209-239-4258 | |
Dr. Himanshu Dewan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2241 N Union Rd, Manteca, CA 95336 Phone: 323-767-7496 | |
Laura Tataille, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 224-565-0265 | |
Brenda Mae Aguiar, OTR, CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3696 Fax: 209-825-3697 |