| Amanda Lee Theobald, | |
|
170 Taylor Station Rd Ste 220, Columbus, OH 43213-4491 | |
| (614) 866-8158 | |
| Not Available |
| Full Name | Amanda Lee Theobald |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 170 Taylor Station Rd Ste 220, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528699824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT006819 (Ohio) | Primary |
| Provider Name | Affordable Home Health Care Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861413999 PECOS PAC ID: 9739192147 Enrollment ID: O20130129000550 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lee Theobald, 2030 Kingman Ct, Lewis Center, OH 43035-9022 Ph: (740) 359-6129 | Amanda Lee Theobald, 170 Taylor Station Rd Ste 220, Columbus, OH 43213-4491 Ph: (614) 866-8158 |
Dana Kristine Greenwell, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Jasonway Ave, Columbus, OH 43214 Phone: 614-459-7050 | |
Molly Fichter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Billingsley Rd, Columbus, OH 43235 Phone: 614-470-2018 | |
Brian Philip Harrington, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 E State St, Columbus, OH 43215 Phone: 614-365-5229 | |
Kadia Leah Simon, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9180 Antares Ave, Columbus, OH 43240 Phone: 833-231-2589 | |
Jamie Ann Coburn Van Horn, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1550 Old Henderson Rd Ste S-204, Columbus, OH 43220 Phone: 614-824-2633 Fax: 614-467-3841 | |
Mr. Jonathan L Chennault, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1397 Broadview Ave, Apt 2, Columbus, OH 43212 Phone: 614-512-9879 | |
Jesse Ann Miller, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1210 Gemini Pl Ste 200, Columbus, OH 43240 Phone: 614-262-6110 |