| Mr Kevin Patrick Mahaffey, OTR/L | |
|
1893 E Mountain St, Pasadena, CA 91104-4013 | |
| (626) 710-6354 | |
| Not Available |
| Full Name | Mr Kevin Patrick Mahaffey |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1893 E Mountain St, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952151011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT25894 (California) | Primary |
| Provider Name | Sand Coast Rehab Physical Therapy Inc |
|---|---|
| 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 |
|---|---|
| Mr Kevin Patrick Mahaffey, OTR/L 1893 E Mountain St, Pasadena, CA 91104-4013 Ph: (626) 710-6354 | Mr Kevin Patrick Mahaffey, OTR/L 1893 E Mountain St, Pasadena, CA 91104-4013 Ph: (626) 710-6354 |
Joelle Elaine Medina, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2889 San Pasqual St, Pasadena, CA 91107 Phone: 626-792-2712 | |
Keene Liang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 E Colorado Blvd Ste 100, Pasadena, CA 91107 Phone: 626-564-2700 | |
Laura Jean Hogan-reyes, OTR/L, SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Del Mar Blvd, #112, Pasadena, CA 91105 Phone: 626-564-2700 | |
Carol Fodera, MA,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350 Fax: 626-793-7341 | |
Tiffany Ellen Manzini, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3030 E Colorado Blvd, Pasadena, CA 91107 Phone: 626-385-6121 | |
Natalie Meade Aguirre, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350 | |
Susan Geraldine Inaba, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1565 Glen Oaks Blvd, Pasadena, CA 91105 Phone: 626-376-5265 |