| |
16981 Placer Hills Rd, B-7, Meadow Vista, CA 95722 | |
(530) 878-8129 | |
(530) 878-8195 |
Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 16981 Placer Hills Rd, Meadow Vista, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003017195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 89503 (California) | Primary |
Mailing Address | Practice Location Address |
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16981 Placer Hills Rd, B-7, Meadow Vista, CA 95722 Ph: (530) 878-8129 | 16981 Placer Hills Rd, B-7, Meadow Vista, CA 95722 Ph: (530) 878-8129 |
Lynette Rae Beadles, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16981 Placer Hills Rd - B-7, Meadow Vista, CA 95722 Phone: 530-878-8129 Fax: 530-878-8195 |