Justin Zarrett Blake, | |
15099 Hesperian Blvd, San Leandro, CA 94578-3545 | |
(510) 276-0118 | |
Not Available |
Full Name | Justin Zarrett Blake |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 15099 Hesperian Blvd, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841869153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Wellness Cafe Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1013634799 PECOS PAC ID: 4183092182 Enrollment ID: O20221123000589 |
Mailing Address | Practice Location Address |
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Justin Zarrett Blake, 15099 Hesperian Blvd, San Leandro, CA 94578-3545 Ph: () - | Justin Zarrett Blake, 15099 Hesperian Blvd, San Leandro, CA 94578-3545 Ph: (510) 276-0118 |
Mr. Casey Cho, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15206 Shining Star Ln, San Leandro, CA 94579 Phone: 310-796-6210 | |
Mia Jermell Byrd, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-8575 | |
Mrs. Amelia Grace Foos, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, San Leandro, CA 94577 Phone: 510-454-1000 | |
Casey Erik Boomer, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-8575 | |
Ms. Jennifer Christy Monselle, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-6421 | |
Mollie Ito Roark, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 | |
Jasmine Everfield, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 Benedict Dr, San Leandro, CA 94577 Phone: 510-357-8300 |