| Annette Dantzler, | |
|
1485 International Pkwy, Heathrow, FL 32746-5303 | |
| (800) 798-6035 | |
| Not Available |
| Full Name | Annette Dantzler |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1485 International Pkwy, Heathrow, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083897961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 112105 (Texas) | Primary |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790302164 PECOS PAC ID: 4385929892 Enrollment ID: O20200727001211 |
| Provider Name | Qrm Plus Florida-ot Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760159685 PECOS PAC ID: 9830596790 Enrollment ID: O20210921001215 |
| Mailing Address | Practice Location Address |
|---|---|
| Annette Dantzler, 2417 N Cheyenne St, Tacoma, WA 98406-3933 Ph: (253) 761-2004 | Annette Dantzler, 1485 International Pkwy, Heathrow, FL 32746-5303 Ph: (800) 798-6035 |
Jessica Suzann Allan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1485 International Pkwy, Heathrow, FL 32746 Phone: 800-798-6035 | |
Kelly Isenhoff, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1485 International Pkwy, 2051, Heathrow, FL 32746 Phone: 800-798-6035 | |
Mr. Scott Earl Brewer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1485 International Pkwy Ste 2051, Heathrow, FL 32746 Phone: 800-798-6035 Fax: 888-798-6035 | |
Ashley Galvin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1485 International Pkwy, Heathrow, FL 32746 Phone: 800-798-6035 | |
Susan Zehr, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1485 International Pkwy, Heathrow, FL 32746 Phone: 800-798-6035 | |
Lynn Keeler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1485 International Pkwy, Heathrow, FL 32746 Phone: 800-798-6035 |