Emilio Villavicencio, MSOT, OTR/L, CNS | |
424 Enclave Cir Apt 204, Costa Mesa, CA 92626-8271 | |
(760) 791-6763 | |
Not Available |
Full Name | Emilio Villavicencio |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 424 Enclave Cir Apt 204, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225626914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT21609 (California) | Primary |
Provider Name | Care To You Health |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700448735 PECOS PAC ID: 7113257247 Enrollment ID: O20191002002900 |
Mailing Address | Practice Location Address |
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Emilio Villavicencio, MSOT, OTR/L, CNS 424 Enclave Cir Apt 204, Costa Mesa, CA 92626-8271 Ph: (760) 791-6763 | Emilio Villavicencio, MSOT, OTR/L, CNS 424 Enclave Cir Apt 204, Costa Mesa, CA 92626-8271 Ph: (760) 791-6763 |
Rima Arsenault, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3186 Airway Ave Ste A, Costa Mesa, CA 92626 Phone: 949-257-9860 | |
Allison Christine Satkoski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3324 Alabama Cir, Costa Mesa, CA 92626 Phone: 714-406-3447 | |
Karen Crouch, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Adams Avenue, Ste 103, Costa Mesa, CA 92626 Phone: 714-556-2288 Fax: 714-435-1745 | |
Barbara Jo Gossack, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 W Wilson St Apt C1, Costa Mesa, CA 92627 Phone: 503-997-9940 | |
Danielle Burt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 431 Enclave Cir Apt 307, Costa Mesa, CA 92626 Phone: 781-258-3462 | |
Lindsey Marie Kenney, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1163 Paularino Ave, Costa Mesa, CA 92626 Phone: 714-423-8120 | |
Melanie Hamel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Adams Ave, Suite 103, Costa Mesa, CA 92626 Phone: 714-556-2288 |