Brooke Crannell Dieterich, MOT, OTR/L | |
20471 Ga Highway 144, Richmond Hill, GA 31324-5850 | |
(561) 308-0452 | |
Not Available |
Full Name | Brooke Crannell Dieterich |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 21 Years |
Location | 20471 Ga Highway 144, Richmond Hill, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427427848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT005999 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bcd Rehab And Fitness,llc | 1759690746 | 9 |
Provider Name | Bcd Rehab & Fitness,llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295117273 PECOS PAC ID: 1759690746 Enrollment ID: O20151013002114 |
Mailing Address | Practice Location Address |
---|---|
Brooke Crannell Dieterich, MOT, OTR/L 20471 Ga Highway 144, Richmond Hill, GA 31324-5850 Ph: (561) 308-0452 | Brooke Crannell Dieterich, MOT, OTR/L 20471 Ga Highway 144, Richmond Hill, GA 31324-5850 Ph: (561) 308-0452 |
Shaina Summer Kennedy, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10144 Ford Ave, Richmond Hill, GA 31324 Phone: 912-727-2321 Fax: 912-445-0599 | |
Miss Christina Marie Pitts, OTD, OTR Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 10144 Ford Ave, Richmond Hill, GA 31324 Phone: 912-727-2321 | |
Erin Wilson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2453 Us Highway 17 Ste G, Richmond Hill, GA 31324 Phone: 912-445-5612 | |
Mrs. Teresa Kay Beardsley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Windsong Dr, Richmond Hill, GA 31324 Phone: 912-445-0298 | |
Anne Pugh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2453 Us Highway 17, Richmond Hill, GA 31324 Phone: 386-453-4413 | |
Kaitlyn Leanne Metzger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10144 Ford Ave, Richmond Hill, GA 31324 Phone: 912-727-2321 |