Veronica Ennis, OTD, OTR | |
79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 | |
(760) 771-9054 | |
(760) 771-9057 |
Full Name | Veronica Ennis |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 79440 Corporate Center Dr Ste 112, La Quinta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568929404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 25919 (California) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | All Star Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750559431 PECOS PAC ID: 7719030949 Enrollment ID: O20090812000451 |
Mailing Address | Practice Location Address |
---|---|
Veronica Ennis, OTD, OTR 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (951) 335-9825 | Veronica Ennis, OTD, OTR 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 Ph: (760) 771-9054 |
Todd Fader, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253 Phone: 760-771-9054 Fax: 760-771-9057 | |
Frances Palmer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 51321 Avenida Bermudas, 1655, La Quinta, CA 92247 Phone: 760-564-8121 | |
Aaron David Miller, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253 Phone: 760-771-9054 Fax: 760-771-9057 |