Mckenna Heisen, OTR/L | |
18333 S Main St, Gardena, CA 90248-4607 | |
(310) 337-7115 | |
Not Available |
Full Name | Mckenna Heisen |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 18333 S Main St, Gardena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932860392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 22660 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Mckenna Heisen, OTR/L 18333 S Main St, Gardena, CA 90248-4607 Ph: (310) 337-7115 | Mckenna Heisen, OTR/L 18333 S Main St, Gardena, CA 90248-4607 Ph: (310) 337-7115 |
Justin A Parnell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Tiffany Ashley Moore, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200 | |
Gerard Del Rosario, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1045 W Redondo Beach Blvd Ste 130, Gardena, CA 90247 Phone: 310-329-1444 | |
Michelle C. Kornet, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Easterseals, 1411 W 190th St Ste 110, Gardena, CA 90248 Phone: 845-803-5118 | |
John Resurreccion, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15331 Jasmine Ln Unit 106, Gardena, CA 90249 Phone: 562-857-4671 | |
Dr. Heidi Elizabeth Tenpas, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Axel Sta Maria, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 879 W 190th St Ste 300, Gardena, CA 90248 Phone: 310-323-6887 |