Madison Lorraine Shasteen, OTR/L | |
273 E Beverly Blvd, Montebello, CA 90640-3775 | |
(323) 724-5100 | |
Not Available |
Full Name | Madison Lorraine Shasteen |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 273 E Beverly Blvd, Montebello, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730728262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 20563 (California) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962001446 PECOS PAC ID: 2365359932 Enrollment ID: O20140731000901 |
Provider Name | Sand Coast Rehab Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
Mailing Address | Practice Location Address |
---|---|
Madison Lorraine Shasteen, OTR/L 28592 Murrelet Dr, Laguna Niguel, CA 92677-1372 Ph: (949) 309-0126 | Madison Lorraine Shasteen, OTR/L 273 E Beverly Blvd, Montebello, CA 90640-3775 Ph: (323) 724-5100 |
David John Stefanik, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 273 E Beverly Blvd, Montebello, CA 90640 Phone: 323-724-5100 | |
Mrs. Anais Jeanne Marie Florence Thiry-dredge, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 273 E Beverly Blvd, Montebello, CA 90640 Phone: 323-724-5100 | |
Charlene Delos Reyes Traballo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1035 W Beverly Blvd, Montebello, CA 90640 Phone: 323-723-1315 | |
Sylvia Wong, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 Neil Armstrong St Unit 106, Montebello, CA 90640 Phone: 626-231-6640 | |
Loida Bailey, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 273 E Beverly Blvd, Montebello, CA 90640 Phone: 323-724-5100 | |
Richard Allen Talavera-klekar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 273 E Beverly Blvd, Montebello, CA 90640 Phone: 323-724-5100 | |
Sabrina Tat, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1520 W Beverly Blvd, Montebello, CA 90640 Phone: 323-725-0711 |