| Jacqueline Amanda Colli, OTR/L | |
|
3400 Central Ave Ste 145, Riverside, CA 92506-2161 | |
| (951) 297-3399 | |
| (909) 890-4393 |
| Full Name | Jacqueline Amanda Colli |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3400 Central Ave Ste 145, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043820012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 21482 (California) | Primary |
| Provider Name | Freehold Health And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982058608 PECOS PAC ID: 1951766997 Enrollment ID: O20230427000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Amanda Colli, OTR/L 1845 Business Center Dr Ste 127, San Bernardino, CA 92408-3434 Ph: (909) 890-9030 | Jacqueline Amanda Colli, OTR/L 3400 Central Ave Ste 145, Riverside, CA 92506-2161 Ph: (951) 297-3399 |
Ana-karina Anderson Nguyen, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4334 Latham St, Riverside, CA 92501 Phone: 909-519-8912 | |
Julia P Kosobucki, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3674 Pacific Ave, Riverside, CA 92509 Phone: 760-729-5433 | |
Edwin Dave Ricketts, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6177 River Crest Dr, #a, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 | |
Karen E Diaz, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 | |
Davorka Martin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9020 Garfield St, Riverside, CA 92503 Phone: 951-688-8200 Fax: 951-688-0386 | |
Blake Christensen, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4234 Riverwalk Pkwy Ste 200, Riverside, CA 92505 Phone: 951-977-2500 Fax: 909-557-1732 | |
Britt E Wallstrom, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 |