Mr David Chung, OTR/L | |
1133 W Sycamore St, Willows, CA 95988-2601 | |
(530) 934-1800 | |
(530) 934-1991 |
Full Name | Mr David Chung |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 1133 W Sycamore St, Willows, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700154705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 12249 (California) | Primary |
Provider Name | Glenn Medical Center, Inc |
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Provider Type | Part B Supplier - Hospital Department(s) |
Provider Identifiers | NPI Number: 1336187178 PECOS PAC ID: 3870505035 Enrollment ID: O20070705000269 |
Mailing Address | Practice Location Address |
---|---|
Mr David Chung, OTR/L 1133 W Sycamore St, Willows, CA 95988-2601 Ph: (530) 934-1800 | Mr David Chung, OTR/L 1133 W Sycamore St, Willows, CA 95988-2601 Ph: (530) 934-1800 |
Lauren Nicole Kufer, MSOT OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 N Crawford St, Willows, CA 95988 Phone: 530-934-2834 | |
Ayesha S Apique, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 N Crawford St, Willows, CA 95988 Phone: 530-934-2834 | |
Jennifer Elizabeth Campos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 N Crawford St, Willows, CA 95988 Phone: 530-934-2834 |