Travis Dudley, MSOT, OTR/L | |
162 S Main St, Bishop, CA 93514-3415 | |
(760) 872-2942 | |
Not Available |
Full Name | Travis Dudley |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 4 Years |
Location | 162 S Main St, Bishop, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487246559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT21664 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Mono Health Care District | 9830002401 | 71 |
Provider Name | Southern Mono Health Care District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160 |
Mailing Address | Practice Location Address |
---|---|
Travis Dudley, MSOT, OTR/L 585 W Line St Unit 491, Bishop, CA 93515-7032 Ph: (858) 248-6046 | Travis Dudley, MSOT, OTR/L 162 S Main St, Bishop, CA 93514-3415 Ph: (760) 872-2942 |
Ms. Tracy L West-stallard, OTR/L, HTC, PAM Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 162 S Main St, Bishop, CA 93514 Phone: 760-872-2942 | |
Michael Frank Philip, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 Pioneer Lane, Bishop, CA 93514 Phone: 760-872-1000 Fax: 760-872-1643 | |
Mr. Stephen Gerard Morra, MSOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 Pioneer Lane, Bishop Care Center, Bishop, CA 93514 Phone: 760-872-1000 Fax: 760-872-1643 | |
Jotendra Ranabhat, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Pioneer Ln, Bishop, CA 93514 Phone: 760-873-2122 | |
Carey Sokol, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 162 S Main St, Bishop, CA 93514 Phone: 760-872-2942 | |
Laurie Weber, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 Pioneer Ln, Bishop, CA 93514 Phone: 760-872-1000 |