Deandra Demes, OT | |
7620 Southern Blvd, Suite 3, Boardman, OH 44512-5667 | |
(330) 965-9330 | |
(330) 965-9308 |
Full Name | Deandra Demes |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 7620 Southern Blvd, Boardman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407886740 | NPI | - | NPPES |
000000208504 | Other | OH | ANTHEM |
34181049501 | Other | OH | BWC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | OT04982 (Ohio) | Primary |
Provider Name | Kids Choice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568798544 PECOS PAC ID: 3779717137 Enrollment ID: O20131018000230 |
Mailing Address | Practice Location Address |
---|---|
Deandra Demes, OT 7620 Southern Blvd, Suite 3, Boardman, OH 44512-5667 Ph: (330) 965-9330 | Deandra Demes, OT 7620 Southern Blvd, Suite 3, Boardman, OH 44512-5667 Ph: (330) 965-9330 |
Shannon Lee Montgomery, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 835 Mckay Ct Ste 100, Boardman, OH 44512 Phone: 330-965-3899 Fax: 330-965-3839 | |
Mrs. Carla Sue Nicholas, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7620 Southern Blvd, Ste 3, Boardman, OH 44512 Phone: 330-965-9330 Fax: 330-965-9308 | |
Leah Weinstock, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7630 Southern Blvd, Boardman, OH 44512 Phone: 330-271-1729 | |
Emily Kunselman, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8561 Market St, Boardman, OH 44512 Phone: 330-953-2383 Fax: 330-953-2384 | |
Sarah Raspovic, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8561 Market St, Boardman, OH 44512 Phone: 330-953-2383 | |
Shannon Mulichak, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1480 Barbie Dr, Boardman, OH 44512 Phone: 330-402-9342 | |
Georgene Farris, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Debartolo Pl, Suite 200, Boardman, OH 44512 Phone: 330-965-7828 |