| Macy Fraser Clark, OTR | |
|
1000 Calle Amanecer, San Clemente, CA 92673-6214 | |
| (949) 498-5100 | |
| Not Available |
| Full Name | Macy Fraser Clark |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1000 Calle Amanecer, San Clemente, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023773447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 10258 (California) | Primary |
| Provider Name | Easy Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124434261 PECOS PAC ID: 2163716457 Enrollment ID: O20160809002788 |
| Mailing Address | Practice Location Address |
|---|---|
| Macy Fraser Clark, OTR 20740 Elfin Forest Rd, Escondido, CA 92029-3313 Ph: (760) 504-5308 | Macy Fraser Clark, OTR 1000 Calle Amanecer, San Clemente, CA 92673-6214 Ph: (949) 498-5100 |
Amy Sadek, PHD, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Calle Amanecer Ste A, San Clemente, CA 92673 Phone: 949-498-5100 | |
Dee Marszal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100 Fax: 949-366-5665 | |
Amy Moss, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Calle Amanecer Ste A, San Clemente, CA 92673 Phone: 949-498-5100 | |
Lauren Wynne, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 W Avenida Cordoba, San Clemente, CA 92672 Phone: 949-973-2983 | |
Malia Ertel, OTR/L, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100 | |
Kelly Yang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 653 Camino De Los Mares Ste 110, San Clemente, CA 92673 Phone: 949-496-0122 Fax: 949-496-5027 |