Nikita Long, OTR/L | |
10333 El Camino Real, Atascadero, CA 93422-5808 | |
(805) 468-3716 | |
Not Available |
Full Name | Nikita Long |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 10333 El Camino Real, Atascadero, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881424711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 25868 (California) | Primary |
Provider Name | Department Of State Hospitals |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Nikita Long, OTR/L Po Box 1236, Atascadero, CA 93423-1236 Ph: (805) 835-2351 | Nikita Long, OTR/L 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-3716 |
Ms. Mary Beth Merola, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 631 Buena Fortuna Cir, Atascadero, CA 93422 Phone: 805-886-3717 | |
Mrs. Lara C Kirkpatrick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6895 Morro Rd, Atascadero, CA 93422 Phone: 805-637-0802 | |
Morgan Zion, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6895 Morro Rd, Atascadero, CA 93422 Phone: 805-464-2133 | |
Adriaana Olson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6965 San Luis Ave, Atascadero, CA 93422 Phone: 805-591-7188 | |
Julie Donahoo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6965 San Luis Ave, Atascadero, CA 93422 Phone: 805-591-7188 | |
Drusilla Potts, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6965 San Luis Ave, Atascadero, CA 93422 Phone: 805-591-7188 | |
Kimberly Jenee Ditto, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14130 Mesa Road, Atascadero, CA 93422 Phone: 805-462-1244 Fax: 805-461-5138 |