Alexandra Statile, | |
3100 E Butler Ave, Flagstaff, AZ 86004-0008 | |
(928) 291-2710 | |
Not Available |
Full Name | Alexandra Statile |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3100 E Butler Ave, Flagstaff, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053148932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 009155 (Arizona) | Primary |
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20220510000680 |
Mailing Address | Practice Location Address |
---|---|
Alexandra Statile, 2330 N Elk Run St, Flagstaff, AZ 86004-7603 Ph: (860) 519-7902 | Alexandra Statile, 3100 E Butler Ave, Flagstaff, AZ 86004-0008 Ph: (928) 291-2710 |
Kallie Kim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Butler Ave, Flagstaff, AZ 86004 Phone: 785-213-1894 | |
Ms. Nicole Ashley Rambeau, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2224 E Cedar Ave, Suite 1, Flagstaff, AZ 86004 Phone: 937-524-9034 | |
Susan R Enerson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 E Cedar Ave, Flagstaff, AZ 86004 Phone: 928-214-7430 Fax: 928-214-6022 | |
Clare Elizabeth Long, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2113 | |
Laurenlee Rae, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 Nakai Trl, Flagstaff, AZ 86005 Phone: 602-228-6338 | |
Mrs. Kathryn Sumpter Barrett, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2054 |