Angela Johnson, | |
133 Gold Mill Pl, Canton, GA 30114-4025 | |
(703) 400-5518 | |
Not Available |
Full Name | Angela Johnson |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 133 Gold Mill Pl, Canton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992461099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Inclusive Rehabilitation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417525916 PECOS PAC ID: 3476958976 Enrollment ID: O20210821000144 |
Mailing Address | Practice Location Address |
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Angela Johnson, 133 Gold Mill Pl, Canton, GA 30114-4025 Ph: () - | Angela Johnson, 133 Gold Mill Pl, Canton, GA 30114-4025 Ph: (703) 400-5518 |
Live To The Max Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 206 Bridgewater Trl, Canton, GA 30115 Phone: 229-894-1353 | |
Marissa Goodman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 213 Manous Way, Canton, GA 30115 Phone: 404-668-3243 | |
Kimberly D'addario, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way, Suite 302, Canton, GA 30115 Phone: 770-345-2804 Fax: 678-827-0927 | |
Mrs. Wendy Renee Greco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 Lake Reserve Way, Canton, GA 30115 Phone: 770-880-0075 | |
Mrs. Sara Kristi Beasley, MOT OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1453 Riverstone Pkwy Ste 170, Canton, GA 30114 Phone: 770-704-0774 | |
Amy Jennifer Jones, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: #1 Mcgarity Rd., Canton, GA 30115 Phone: 770-360-9183 Fax: 770-360-8965 | |
Mrs. Mary Zamorski, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 172 Birchwood Pass, Canton, GA 30114 Phone: 678-522-1078 Fax: 678-985-3953 |