Jillianne Tahara, | |
620 N Lake Ave, Pasadena, CA 91101-1220 | |
(626) 793-7350 | |
Not Available |
Full Name | Jillianne Tahara |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 620 N Lake Ave, Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1972974129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 15720 (California) | Primary |
Provider Name | Orthopaedic And Neurological Rehab Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431 |
Mailing Address | Practice Location Address |
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Jillianne Tahara, 620 N Lake Ave, Pasadena, CA 91101-1220 Ph: () - | Jillianne Tahara, 620 N Lake Ave, Pasadena, CA 91101-1220 Ph: (626) 793-7350 |
Joelle Elaine Medina, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2889 San Pasqual St, Pasadena, CA 91107 Phone: 626-792-2712 | |
Keene Liang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 E Colorado Blvd Ste 100, Pasadena, CA 91107 Phone: 626-564-2700 | |
Laura Jean Hogan-reyes, OTR/L, SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Del Mar Blvd, #112, Pasadena, CA 91105 Phone: 626-564-2700 | |
Carol Fodera, MA,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350 Fax: 626-793-7341 | |
Tiffany Ellen Manzini, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3030 E Colorado Blvd, Pasadena, CA 91107 Phone: 626-385-6121 | |
Natalie Meade Aguirre, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350 | |
Susan Geraldine Inaba, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1565 Glen Oaks Blvd, Pasadena, CA 91105 Phone: 626-376-5265 |