Amaya Constance Alonso Hallifax, | |
39180 Farwell Dr Ste 211, Fremont, CA 94538-1015 | |
(510) 892-4855 | |
Not Available |
Full Name | Amaya Constance Alonso Hallifax |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 39180 Farwell Dr Ste 211, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306557616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 22567 (California) | Primary |
Provider Name | Select Cal Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572 |
Mailing Address | Practice Location Address |
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Amaya Constance Alonso Hallifax, 1188 Oxford St, Berkeley, CA 94707-2624 Ph: (510) 717-0860 | Amaya Constance Alonso Hallifax, 39180 Farwell Dr Ste 211, Fremont, CA 94538-1015 Ph: (510) 892-4855 |
Puneet Dhingra, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Country Dr, Fremont, CA 94536 Phone: 510-792-4242 | |
Henna Chhabra, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Country Dr, Fremont, CA 94536 Phone: 510-792-4242 | |
Justine Michelle Park, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 43555 Grimmer Blvd Apt B115, Fremont, CA 94538 Phone: 510-274-7600 | |
Mrs. Gueyfang Jih, PHD OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39022 Presidio Way, Fremont, CA 94538 Phone: 510-792-3743 | |
Ms. Cassandra Marie Sells, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Country Dr, Fremont, CA 94536 Phone: 510-792-4242 | |
Karina Klenchik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39420 Liberty St Ste 150, Fremont, CA 94538 Phone: 510-794-5155 | |
Mark J Cruz, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3000 |