| Reach Beyond Therapy Inc | |
|
2703 Rockefeller Ln Apt 2 Redondo Beach CA 90278-4299 | |
| (808) 285-5090 | |
| Not Available |
| Full Name | Reach Beyond Therapy Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2703 Rockefeller Ln Apt 2, Redondo Beach, California |
| Authorized Official Name and Position | Jade Wong (CEO) |
| Authorized Official Contact | 8082855090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach Beyond Therapy Inc 2703 Rockefeller Ln Apt 2 Redondo Beach CA 90278-4299 Ph: () - | Reach Beyond Therapy Inc 2703 Rockefeller Ln Apt 2 Redondo Beach CA 90278-4299 Ph: (808) 285-5090 |
| NPI Number | 1447099007 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 4082156864 |
|---|---|
| Medicare Enrollment ID | O20240607002060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447099007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jade Wong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255810008 PECOS PAC ID: 2567866502 Enrollment ID: I20210812001310 |
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