Individual ProviderRoger Mcdoanld-ReyesOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3801 Miranda Ave Bldg 1004th, Palo Alto, CA 94304-1207(650) 493-5000PECOS EnrollmentBased on the most recent information from CMS, provider Roger Mcdoanld-Reyes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1750001897Provider TypeIndividualFull NameMcdoanld-Reyes, RogerCredentialOTRGenderMaleSole ProprietorNoEnumeration Date8/30/2022Last Updated8/30/2022Contact InformationPractice LocationPractice Address3801 Miranda Ave Bldg 1004th, Palo Alto, CA 94304-1207Phone(650) 493-5000FaxUnlisted FaxMailing LocationMailing Address3801 Miranda Ave, Palo Alto, CA 94304-1207PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense22237California