Ms Donna Lynn Childs, OTR is a
Occupational Therapist based in Boulder Creek, California. Ms Donna Lynn Childs is licensed to practice in California (license number 1013690) and her current practice location is
475 Memory Ln, Boulder Creek, California. She can be reached at her office (for appointments etc.) via phone at
(707) 445-8080.
NPI number for Ms Donna Lynn Childs is 1114068434 and her current mailing address is 2332 Harrison Ave, Suite D, Eureka, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114068434.
Healthcare Provider's Profile
Full Name | Ms Donna Lynn Childs |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 475 Memory Ln, Boulder Creek, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114068434
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 07/01/2021
Medical Identifiers
Medical identifiers for Ms Donna Lynn Childs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114068434 | NPI | - | NPPES |
271 82 7541 | Other | CA | SS# |
OT0053780 | Other | CA | BLUE SHIELD |
1013690 | Other | CA | OTR LICENSE |
362098200 | Other | CA | FEDERAL WORKERS' COMP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 1013690 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Donna Lynn Childs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Donna Lynn Childs, OTR 2332 Harrison Ave, Suite D, Eureka, CA 95501-3234 Ph: (707) 445-8080 | Ms Donna Lynn Childs, OTR 475 Memory Ln, Boulder Creek, CA 95006-9130 Ph: (707) 445-8080 |
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