| Ashley P Wilson, | |
|
131 Holly St, Canton, GA 30114-9566 | |
| (678) 990-5055 | |
| Not Available |
| Full Name | Ashley P Wilson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 131 Holly St, 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 |
|---|---|---|---|
| 1376314369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT00004620 (Georgia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley P Wilson, 1065 Adams Haven Bnd Nw, Acworth, GA 30101-5212 Ph: (770) 883-5353 | Ashley P Wilson, 131 Holly St, Canton, GA 30114-9566 Ph: (678) 990-5055 |
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 |