Katrin Mutiany Izumi, | |
230 S Altadena Dr, Pasadena, CA 91107-4820 | |
(626) 297-0658 | |
Not Available |
Full Name | Katrin Mutiany Izumi |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 230 S Altadena Dr, 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 |
---|---|---|---|
1306103817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 14791 (California) | Primary |
Provider Name | Atlantis Physical Therapy Assoc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245323252 PECOS PAC ID: 3870558513 Enrollment ID: O20041122001218 |
Mailing Address | Practice Location Address |
---|---|
Katrin Mutiany Izumi, 1909 Condon Ave, Redondo Beach, CA 90278-3402 Ph: (626) 297-0658 | Katrin Mutiany Izumi, 230 S Altadena Dr, Pasadena, CA 91107-4820 Ph: (626) 297-0658 |
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 |