Miss Ma Cecilia Manuel Alfonso, OTR/L | |
3555 Whipple Rd, Union City, CA 94587-1507 | |
(510) 675-3231 | |
Not Available |
Full Name | Miss Ma Cecilia Manuel Alfonso |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3555 Whipple Rd, Union City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992156335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT 8633 (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 |
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Miss Ma Cecilia Manuel Alfonso, OTR/L 3555 Whipple Rd, Union City, CA 94587-1507 Ph: (510) 675-3231 | Miss Ma Cecilia Manuel Alfonso, OTR/L 3555 Whipple Rd, Union City, CA 94587-1507 Ph: (510) 675-3231 |
Trisha Jean Park, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29516 Kohoutek Way, Union City, CA 94587 Phone: 510-441-8240 | |
Rachel Karol Velen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29516 Kohoutek Way, Union City, CA 94587 Phone: 510-441-8240 | |
Mrs. Marilyn Hayes Anderson, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30116 Eigenbrodt Way, Union City, CA 94587 Phone: 510-537-3351 | |
Emily Lateer, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Mann Ave, Union City, CA 94587 Phone: 510-414-7736 | |
Mrs. Lisa Marie Scranton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30116 Eigenbrodt Wy, Union City, CA 94587 Phone: 510-675-6634 Fax: 510-675-5956 | |
Stacey Ann Roura, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-675-4289 | |
Marylee Banzon, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29516 Kohoutek Way, Union City, CA 94587 Phone: 510-441-8240 |