Amanda Graham Spaw, MOT | |
2122 Airline Dr Ste 200, Bossier City, LA 71111-3270 | |
(318) 828-1450 | |
Not Available |
Full Name | Amanda Graham Spaw |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2122 Airline Dr Ste 200, Bossier City, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073392353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTT.200091 (Louisiana) | Primary |
Provider Name | Function First Physical Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114430071 PECOS PAC ID: 2961763768 Enrollment ID: O20180219000133 |
Mailing Address | Practice Location Address |
---|---|
Amanda Graham Spaw, MOT 670 Albemarle Dr Ste 1100, Shreveport, LA 71106-5947 Ph: (318) 828-1450 | Amanda Graham Spaw, MOT 2122 Airline Dr Ste 200, Bossier City, LA 71111-3270 Ph: (318) 828-1450 |
Mrs. Charlotte Evette Turner, AP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4859 Shed Road, Suite 200, Bossier City, LA 71111 Phone: 318-588-5012 Fax: 318-588-5008 | |
Kelly N Key, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2250 Hospital Dr, Suite 120, Bossier City, LA 71111 Phone: 318-747-1760 Fax: 318-742-8839 | |
Mrs. Jamie Claire Sanford, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1816 Bayou Bend Dr, Bossier City, LA 71111 Phone: 318-349-6610 | |
Danielle Acurio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Crosscreek Dr, Bossier City, LA 71111 Phone: 318-469-8254 | |
Sheteisha Jones, AP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Airline Dr, Bossier City, LA 71111 Phone: 318-588-5012 Fax: 318-588-5008 | |
Tammy Thompson, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2575 Airline Dr, Bossier City, LA 71111 Phone: 318-746-7466 |