Toni Boom, | |
1238 S St, Society For The Blind, Sacramento, CA 95811-7112 | |
(916) 452-8271 | |
Not Available |
Full Name | Toni Boom |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1238 S St, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205243185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 9263 (California) | Primary |
225XL0004X | Occupational Therapist - Low Vision | 9263 (California) | Secondary |
Provider Name | Society For The Blind |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083718100 PECOS PAC ID: 4789723446 Enrollment ID: O20091209000565 |
Mailing Address | Practice Location Address |
---|---|
Toni Boom, 1238 S St, Society For The Blind, Sacramento, CA 95811-7112 Ph: (916) 452-8271 | Toni Boom, 1238 S St, Society For The Blind, Sacramento, CA 95811-7112 Ph: (916) 452-8271 |
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