| Laura Rebecca Pendergast Johnson, OTR/L | |
|
1809 National Ave, San Diego, CA 92113-2113 | |
| (619) 515-2300 | |
| Not Available |
| Full Name | Laura Rebecca Pendergast Johnson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1809 National Ave, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750813077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 17249 (* (Not Available)) | Primary |
| Provider Name | Dearborn Speech And Sensory Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033510821 PECOS PAC ID: 6901128487 Enrollment ID: O20141212000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Rebecca Pendergast Johnson, OTR/L 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: () - | Laura Rebecca Pendergast Johnson, OTR/L 1809 National Ave, San Diego, CA 92113-2113 Ph: (619) 515-2300 |
Ms. Brooke Hallie Redman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Clairemont Mesa Blvd, Suite 203, San Diego, CA 92111 Phone: 858-268-8585 Fax: 858-268-5729 | |
Jaspreet Singh Basi, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10635 Calle Mar De Mariposa Apt 5304, San Diego, CA 92130 Phone: 559-917-2421 | |
Minnett Sharon Condor Arriesgado, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Jamie E Wahl, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Market St Unit 210, San Diego, CA 92101 Phone: 303-710-2520 | |
Ms. Margaret Ann Fuller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189 | |
Ms. Joan Marie Danford, O.T.R., C.P.R.P. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4525 Mission Gorge Pl, San Diego, CA 92120 Phone: 619-228-8003 Fax: 619-228-8030 | |
Neena Eileen Bakshi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr, Suite 238, San Diego, CA 92123 Phone: 858-571-0030 |