Reva Raiken, OT | |
935 E Ridgecrest Blvd, Ridgecrest, CA 93555-4368 | |
(760) 371-1411 | |
Not Available |
Full Name | Reva Raiken |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 935 E Ridgecrest Blvd, Ridgecrest, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285340117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 24276 (California) | Primary |
Provider Name | Select Cs Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
Mailing Address | Practice Location Address |
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Reva Raiken, OT 935 E Ridgecrest Blvd, Ridgecrest, CA 93555-4368 Ph: () - | Reva Raiken, OT 935 E Ridgecrest Blvd, Ridgecrest, CA 93555-4368 Ph: (760) 371-1411 |
Andrew Whalley, MOT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 Phone: 760-677-8436 Fax: 760-264-4318 | |
Sarah A Mumford, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 935 E Ridgecrest Blvd, Ridgecrest, CA 93555 Phone: 760-371-1411 | |
Carrie Marie Hill, M.A., O.T.R./L. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 935 E Ridgecrest Blvd, Ridgecrest, CA 93555 Phone: 760-371-1411 Fax: 760-371-1410 | |
Paul S Cooper, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Judy Way, Ridgecrest, CA 93555 Phone: 760-446-4520 | |
Anita Chon, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 935 E Ridgecrest Blvd, Ridgecrest, CA 93555 Phone: 760-371-1411 | |
Kierstin Mazzie, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 935 E Ridgecrest Blvd, Ridgecrest, CA 93555 Phone: 760-371-1411 |