| Cheyenne Rose Russell, OTR/L | |
|
179 Station Pl, Hurricane, WV 25526-6578 | |
| (304) 760-6300 | |
| (304) 201-5123 |
| Full Name | Cheyenne Rose Russell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 179 Station Pl, Hurricane, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447900873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 2216 (West Virginia) | Primary |
| Provider Name | Kid Talk Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245315027 PECOS PAC ID: 7315190147 Enrollment ID: O20130103000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne Rose Russell, OTR/L 179 Station Pl, Hurricane, WV 25526-6578 Ph: (304) 760-6300 | Cheyenne Rose Russell, OTR/L 179 Station Pl, Hurricane, WV 25526-6578 Ph: (304) 760-6300 |
Erin Grace Bowling, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Pl, Hurricane, WV 25526 Phone: 304-760-6300 Fax: 304-201-5123 | |
Holly Conrad, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Pl, Hurricane, WV 25526 Phone: 304-760-6300 Fax: 304-201-5123 | |
Erin Blaine Elswick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Pl, Hurricane, WV 25526 Phone: 304-760-6300 | |
Emily Ann Burnside, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Pl, Hurricane, WV 25526 Phone: 304-760-6300 Fax: 304-201-5123 | |
Charles Evans Ii, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Out Look Dr, Hurricane, WV 25526 Phone: 304-757-4102 | |
Mrs. Jaclyn A Santangelo, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3705 Teays Valley Rd, Suite 100, Hurricane, WV 25526 Phone: 304-757-2500 Fax: 304-757-2586 | |
Angela Brooke Osburn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Place Way, Hurricane, WV 25526 Phone: 304-760-6300 Fax: 304-201-5123 |