Paul B Whitney, OTR | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-4413 | |
Not Available |
Full Name | Paul B Whitney |
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Gender | Male |
Speciality | Occupational Therapist - Hand |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174681340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | 217 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Paul B Whitney, OTR 368 Shannon Dr, Vacaville, CA 95688-9240 Ph: (707) 651-4413 | Paul B Whitney, OTR 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-4413 |
Jamie Lutat, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St, Vallejo, CA 94589 Phone: 707-651-1000 | |
Mrs. Kianga Tahara Robinson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1439 Farrell St, Vallejo, CA 94590 Phone: 707-556-3227 | |
Mrs. Mara Jones-bey, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1312 | |
Kiley Salak, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2341 | |
Susan Meredith Cooke, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1312 | |
Mrs. Rosalyn Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Lofas Pl, Vallejo, CA 94589 Phone: 916-802-5362 | |
Kristine Alysse Ricossa, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |