| Edna Entsuah, | |
| 1020 Tierra Del Rey, Chula Vista, CA 91910-7886 | |
| (800) 976-7544 | |
| Not Available | 
| Full Name | Edna Entsuah | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist - Physical Rehabilitation | 
| Location | 1020 Tierra Del Rey, Chula Vista, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063221562 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 24854 (California) | Primary | 
| Provider Name | Mdrs Spine & Sport Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edna Entsuah, 13370 Clear Canyon Ct, Eastvale, CA 92880-3028 Ph: (909) 560-9544 | Edna Entsuah, 1020 Tierra Del Rey, Chula Vista, CA 91910-7886 Ph: (800) 976-7544 | 
| Beverly Dovan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910 Phone: 619-500-5884 | |
| Brian Delposo, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3130 Bonita Rd Ste 100, Chula Vista, CA 91910 Phone: 619-585-7104 Fax: 619-585-7106 | |
| Kayli Wagner, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 183 3rd Ave, Chula Vista, CA 91910 Phone: 800-310-4696 | |
| Christine Lluch, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1020 Tierra Del Rey # A-1, Chula Vista, CA 91910 Phone: 619-585-7104 | |
| Marissa Agatha Sheppard, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1337 Blue Sage Way, Chula Vista, CA 91915 Phone: 619-398-6990 Fax: 619-754-6907 | |
| Stacie M Gomez, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2437 Fenton St, Chula Vista, CA 91914 Phone: 619-656-5176 |