| Bay Mtu | |
|
2001 Bockman Rd, Bay School, Room 25, San Lorenzo, CA 94580-1903 | |
| (510) 317-4355 | |
| (510) 278-8246 |
| Full Name | Bay Mtu |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 2001 Bockman Rd, San Lorenzo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699824557 | NPI | - | NPPES |
| CCS00034F | Other | CA | CCS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | (California) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Mtu 1000 Broadway, 5th Floor, Oakland, CA 94607-4099 Ph: (510) 267-3278 | Bay Mtu 2001 Bockman Rd, Bay School, Room 25, San Lorenzo, CA 94580-1903 Ph: (510) 317-4355 |
Stephanie Camille Gella, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17025 Via Piedras, San Lorenzo, CA 94580 Phone: 510-278-3347 | |
Clarice Torrey, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2001 Bockman Rd, San Lorenzo, CA 94580 Phone: 510-278-8246 |