Gabriel Micciche, | |
21999 Propello Dr, Santa Clarita, CA 91350 | |
(562) 233-1029 | |
Not Available |
Full Name | Gabriel Micciche |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 21999 Propello Dr, Santa Clarita, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215145198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 8138 (California) | Primary |
Provider Name | New Life Physical Therapy Services Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800 |
Mailing Address | Practice Location Address |
---|---|
Gabriel Micciche, 21999 Propello Dr, Santa Clarita, CA 91350 Ph: (562) 233-1029 | Gabriel Micciche, 21999 Propello Dr, Santa Clarita, CA 91350 Ph: (562) 233-1029 |
Kristina Leann Silverman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26639 Valley Center Dr, Suite 101, Santa Clarita, CA 91351 Phone: 661-254-1842 Fax: 661-254-1862 | |
Jenifffer Wanjiru Harris, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 27614 Spencer Ct Apt 102, Santa Clarita, CA 91387 Phone: 213-819-5808 | |
Kelcy Parrish, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 26639 Valley Center Dr, Santa Clarita, CA 91351 Phone: 661-480-6443 | |
Mr. Daniel R. Egler, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 27141 Hidaway Ave, Suite 207, Santa Clarita, CA 91351 Phone: 661-424-9333 Fax: 661-424-9463 | |
Clara Moon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22635 Espuella Dr, Santa Clarita, CA 91350 Phone: 818-294-5315 | |
Ms. Gayle San Marco, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29040 Seco Cyn, Santa Clarita, CA 91390 Phone: 661-296-1529 |