Mackenzie Eells, OTR/L | |
3498 Green Valley Rd, Rescue, CA 95672-9625 | |
(530) 391-8670 | |
Not Available |
Full Name | Mackenzie Eells |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 3498 Green Valley Rd, Rescue, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588163190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 18361 (California) | 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 |
---|---|
Mackenzie Eells, OTR/L 360 Silberhorn Dr, Folsom, CA 95630-6851 Ph: () - | Mackenzie Eells, OTR/L 3498 Green Valley Rd, Rescue, CA 95672-9625 Ph: (530) 391-8670 |
Mckenzie Brown, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3498 Green Valley Rd, Rescue, CA 95672 Phone: 530-391-8670 | |
Sara L Jefferson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3498 Green Valley Rd, Rescue, CA 95672 Phone: 530-391-8670 | |
Mrs. Sarah S. Nord, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3498 Green Valley Rd, Rescue, CA 95672 Phone: 530-391-8670 | |
Shawnee Herbert, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3498 Green Valley Rd, Rescue, CA 95672 Phone: 530-391-8670 | |
Veronica Bernal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3498 Green Valley Rd, Rescue, CA 95672 Phone: 530-391-8670 | |
Sarah Loffredo, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3498 Green Valley Rd, Rescue, CA 95672 Phone: 530-391-8670 | |
Peter Ngo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3498 Green Valley Rd, Rescue, CA 95672 Phone: 530-391-8670 |