Charity Bass, OTR/L | |
8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | |
(800) 804-9961 | |
Not Available |
Full Name | Charity Bass |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 8477 S Suncoast Blvd, Homosassa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053043778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT121962 (Texas) | Primary |
Provider Name | Ideal Physical Therapy Of Texas Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
Mailing Address | Practice Location Address |
---|---|
Charity Bass, OTR/L 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Charity Bass, OTR/L 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 Ph: (800) 804-9961 |
Radha M Patel, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 800-804-9961 | |
Amber Smith Joiner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-1141 | |
Kathleen Ann Davis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-4800 | |
Marlo Cuyugan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 800-804-9961 | |
Andre Lynne Erlandson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4088 S Kindness Pt, Homosassa, FL 34446 Phone: 352-628-4556 | |
Shanine Theres Fogle, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-7214 Fax: 352-382-7781 |