Sarah Faith Innocenti, OTR | |
700 Lawrence Expy, Santa Clara, CA 95051-5173 | |
(408) 851-1480 | |
Not Available |
Full Name | Sarah Faith Innocenti |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 700 Lawrence Expy, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043700172 | NPI | - | NPPES |
18511 | Other | CA | CBOT |
398694 | Other | NBCOT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 18511 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Sarah Faith Innocenti, OTR 1207 Leigh Ave Apt 5, San Jose, CA 95126-4545 Ph: (951) 258-8909 | Sarah Faith Innocenti, OTR 700 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1480 |
Ms. Mary Julie Digeronimo, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-851-8350 | |
Christine Strode, OT/L, CMC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 669-600-7258 | |
Miss Erica Renee Fahmy, MA, OTR/L, PAM, SWC Occupational Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1459 | |
Danielle Borras, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pruneridge Ave, Santa Clara, CA 95050 Phone: 408-245-3400 | |
Audrey Vl Suciu, M.S.,O.T.R.,L.,C.H.T Occupational Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. 174 And 290, Santa Clara, CA 95051 Phone: 408-851-1461 | |
Nicole Lai, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 Lafayette St, Santa Clara, CA 95050 Phone: 408-743-5332 |