Mecque Fonseca, | |
325 S University Rd Ste 101, Spokane Valley, WA 99206-6164 | |
(509) 921-9798 | |
Not Available |
Full Name | Mecque Fonseca |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 325 S University Rd Ste 101, Spokane Valley, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659902724 | NPI | - | NPPES |
OT60059345 | Other | WA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT60059345 (Washington) | Primary |
Provider Name | Youthful Horizons Physical Therapy, Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699823898 PECOS PAC ID: 2062301468 Enrollment ID: O20040313000072 |
Mailing Address | Practice Location Address |
---|---|
Mecque Fonseca, 325 S University Rd Ste 101, Spokane Valley, WA 99206-6164 Ph: (509) 921-9798 | Mecque Fonseca, 325 S University Rd Ste 101, Spokane Valley, WA 99206-6164 Ph: (509) 921-9798 |
Rebecca Heid, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14820 E 4th Ave, Spokane Valley, WA 99216 Phone: 509-789-7789 | |
Brandon Roberson, MS,OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14505 E 18th Ave, Spokane Valley, WA 99037 Phone: 509-270-3737 | |
Mrs. Abigail Marie Shewchuk, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13607 E Sprague Ave, Spokane Valley, WA 99216 Phone: 509-921-9798 Fax: 509-921-9774 | |
Carolyn Ross, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2510 N Pines Rd Ste 3, Spokane Valley, WA 99206 Phone: 509-315-5711 Fax: 509-443-4170 | |
Elizabeth A Duran, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 16528 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-944-8920 Fax: 509-227-7070 | |
Allison Maura Vlcek, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 S Sullivan Rd Apt 334, Spokane Valley, WA 99037 Phone: 206-419-9051 | |
Jorge Luis Santiago, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12410 E Sinto Ave Ste 101, Spokane Valley, WA 99216 Phone: 509-789-2956 Fax: 509-789-2976 |