Brandon Ezzo, | |
3012 Graham Rd, Stow, OH 44224-3622 | |
(330) 805-4786 | |
Not Available |
Full Name | Brandon Ezzo |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 5 Years |
Location | 3012 Graham Rd, Stow, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336788991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT010737 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Purpose Driven Therapy Llc | 0749515260 | 2 |
Provider Name | Purpose Driven Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023570959 PECOS PAC ID: 0749515260 Enrollment ID: O20190703003001 |
Mailing Address | Practice Location Address |
---|---|
Brandon Ezzo, 3014 Graham Rd, Stow, OH 44224-3622 Ph: (330) 805-4786 | Brandon Ezzo, 3012 Graham Rd, Stow, OH 44224-3622 Ph: (330) 805-4786 |
Mrs. Jessica Christine Duncan, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5511 Fishcreek Rd, Stow, OH 44224 Phone: 330-342-0934 | |
Jamila Vinzant, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4226 Wood Park Dr, Stow, OH 44224 Phone: 330-541-3669 | |
Samantha Lynn Valentine, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5511 Fishcreek Rd, Stow, OH 44224 Phone: 234-284-2365 | |
Jordye Elizabeth Joyce, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1533 Commerce Dr, Stow, OH 44224 Phone: 330-688-5555 | |
Mrs. Margaret Rachel Norin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2910 Lermitage Pl, Stow, OH 44224 Phone: 330-688-1188 Fax: 330-688-1278 | |
Mrs. Penelope Sue Lutz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3741 Leewood Rd, Stow, OH 44224 Phone: 330-688-6165 |