| Aging With Flair Llc | |
|
219 Gerald Dr, Simpsonville, SC 29681-4111 | |
| (864) 567-1129 | |
| (864) 335-8514 |
| Full Name | Aging With Flair Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 219 Gerald Dr, Simpsonville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770541765 | NPI | - | NPPES |
| GP4315 | Medicaid | SC | |
| TH1382 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2758 (South Carolina) | Primary |
| Provider Name | Ellen L Tessler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033559000 PECOS PAC ID: 4880810852 Enrollment ID: I20140728002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Aging With Flair Llc 219 Gerald Dr, Simpsonville, SC 29681-4111 Ph: (864) 567-1129 | Aging With Flair Llc 219 Gerald Dr, Simpsonville, SC 29681-4111 Ph: (864) 567-1129 |
Hannah Duncan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Ladean Ct Ste E, Simpsonville, SC 29680 Phone: 864-498-9601 | |
Jan Waldt, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 727 Se Main St Ste 200, Simpsonville, SC 29681 Phone: 864-454-6670 Fax: 864-454-6675 | |
Ms. Angela Nicole Boyd, MSR, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Martele Ct, Simpsonville, SC 29680 Phone: 864-962-6832 Fax: 864-963-2583 | |
Erin Simmons, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Martele Ct, Simpsonville, SC 29680 Phone: 864-303-4622 | |
Beth Hollenbeck, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Portland Falls Dr, Simpsonville, SC 29680 Phone: 864-299-0066 | |
Clara Jane Martin, LMT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Allawood Ct Ste 110, Simpsonville, SC 29681 Phone: 864-238-9333 | |
Forever Young Innovative Therapy Solutions, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 531 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-684-3401 |