Blanka Pentek, | |
751 S Bascom Ave, San Jose, CA 95128-2699 | |
(408) 885-5000 | |
Not Available |
Full Name | Blanka Pentek |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 751 S Bascom Ave, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699416511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 18931 (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 |
---|---|
Blanka Pentek, 3555 Sandpebble Dr Apt 550, San Jose, CA 95136-4032 Ph: (408) 605-7606 | Blanka Pentek, 751 S Bascom Ave, San Jose, CA 95128-2699 Ph: (408) 885-5000 |
Marjereen Mirabueno, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 459 Mignot Ln, San Jose, CA 95111 Phone: 650-814-0720 | |
Mrs. Judith Wolf Ivan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5998 Pilgrim Ave, San Jose, CA 95129 Phone: 408-252-9086 | |
Liza Bacal, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 N 13th St, San Jose, CA 95112 Phone: 408-295-2665 | |
Alyshia Ayn Abraham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1327 Hillcrest Dr, San Jose, CA 95120 Phone: 408-649-5745 | |
Jerilyn Smith, OTR SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Las Colinas Ln, San Jose, CA 95119 Phone: 408-284-2812 Fax: 408-284-2875 | |
Miss Mary-lynn Zweers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 The Alameda, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273 | |
Patricia Pham Tran, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 556 N 1st St Ste 201, San Jose, CA 95112 Phone: 408-384-4993 Fax: 408-856-1246 |