Mr Randal Scott Souza Sr, | |
375 Cohasset Rd, Chico, CA 95926-2211 | |
(530) 343-5595 | |
Not Available |
Full Name | Mr Randal Scott Souza Sr |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 375 Cohasset Rd, Chico, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629491303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4579 (California) | Primary |
Provider Name | Orthopaedic And Neurological Rehab Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431 |
Mailing Address | Practice Location Address |
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Mr Randal Scott Souza Sr, 4560 Se International Way Ste 100, Portland, OR 97222-4628 Ph: (971) 206-5200 | Mr Randal Scott Souza Sr, 375 Cohasset Rd, Chico, CA 95926-2211 Ph: (530) 343-5595 |
Asya Lesly, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 Springfield Dr, Chico, CA 95928 Phone: 530-342-4885 | |
Nanci Marie Stigge, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Raley Blvd Ste 102, Chico, CA 95928 Phone: 530-898-0842 | |
Cornelia I. Brattan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1674 Filbert Ave, Chico, CA 95926 Phone: 530-894-7135 Fax: 530-894-7164 | |
Mr. Daniel Nicholas Canchola, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1200 Springfield Dr, Chico, CA 95928 Phone: 530-342-4885 | |
Mrs. Jennifer Irene Mcdaniel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Woodmont Ct, Chico, CA 95926 Phone: 530-844-0838 | |
Dr. Diana Rae Feldhacker, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Springfield Dr, Chico, CA 95928 Phone: 530-342-4885 | |
Chloe Ridgley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 Cohasset Rd, Chico, CA 95926 Phone: 530-343-5595 |