Organization
GOLD COUNTRY OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARY LYNEIS-SIRIAS OTR (OCCUPATIONAL THERAPIST)
(209) 736-9589
Entity
Organization
Contact information
Practice address
252 N. MAIN STREET, ANGELS CAMP, CA 95222
(209) 736-9589
Mailing address
PO BOX 278, ANGELS CAMP, CA 95222-0278
(209) 743-7211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 681
CA
225X00000X
Occupational Therapist
Primary
OT5244
CA
225XE1200X
Ergonomics Occupational Therapist
OT 681
CA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT5244
CA
225XG0600X
Gerontology Occupational Therapist
OT 681
CA
225XH1200X
Hand Occupational Therapist
OT 681
CA
225XN1300X
Neurorehabilitation Occupational Therapist
OT5244
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT 681
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT5244
CA
225XP0200X
Pediatric Occupational Therapist
OT5244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ033712
MEDICARE ID, UNSPECIFIED
CA
Enumeration date
01/03/2011
Last updated
01/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us