| Charlotte Grant, OT | |
|
437 E Jackson St, Thomasville, GA 31792-4615 | |
| (850) 345-6666 | |
| Not Available |
| Full Name | Charlotte Grant |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 437 E Jackson St, Thomasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073256749 | NPI | - | NPPES |
| 15136507 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT16011 (Florida) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Grant, OT 2325 Keith St, Tallahassee, FL 32310-0904 Ph: (850) 345-6666 | Charlotte Grant, OT 437 E Jackson St, Thomasville, GA 31792-4615 Ph: (850) 345-6666 |
Melinda Greene, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2823 Fax: 229-551-8722 | |
Lindsey Gibson Cone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 E Jackson St, Thomasville, GA 31792 Phone: 478-318-4579 | |
Mrs. Jennifer Michelle Stephenson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Us Highway 84 Byp W, Thomasville, GA 31792 Phone: 229-403-9924 | |
Michelle Manning Popiel, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 E. Jefferson Street, Thomasville, GA 31792 Phone: 229-225-1683 | |
Melanie Stodard Green, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1727 Gatlin Creek Rd, Thomasville, GA 31757 Phone: 229-224-4203 | |
Deborah V Smith, OCCUPAT THERAPIST Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Dawson St, Thomasville, GA 31792 Phone: 229-226-4114 Fax: 229-226-6480 |