Kathleen Coffey, OT | |
501 Petaluma Ave, Sebastopol, CA 95472-4215 | |
(707) 823-8511 | |
Not Available |
Full Name | Kathleen Coffey |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 501 Petaluma Ave, Sebastopol, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861041188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Kathleen Coffey, OT 126 N High St, Sebastopol, CA 95472-3705 Ph: () - | Kathleen Coffey, OT 501 Petaluma Ave, Sebastopol, CA 95472-4215 Ph: (707) 823-8511 |
Miss Melinda Kopecky, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4740 Vine Hill Rd, Sebastopol, CA 95472 Phone: 650-464-1426 | |
Miss Anya Rose Soled, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5554 Thomas Rd, Sebastopol, CA 95472 Phone: 415-297-8892 | |
Bailey Brian Hyatt, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5554 Thomas Rd, Sebastopol, CA 95472 Phone: 415-297-8892 | |
Anne Casey-nielson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Hurlbut Ave, Sebastopol, CA 95472 Phone: 707-396-2541 | |
Mellisa Nicole Elrod, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1935 Gravenstein Hwy, Sebastopol, CA 95472 Phone: 707-827-7675 |