Deanna Wallace, | |
4915 Charlestown Rd, New Albany, IN 47150-9426 | |
(812) 945-5221 | |
Not Available |
Full Name | Deanna Wallace |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4915 Charlestown Rd, New Albany, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609365873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Goodcare Athome Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891190377 PECOS PAC ID: 7517289614 Enrollment ID: O20200306000653 |
Mailing Address | Practice Location Address |
---|---|
Deanna Wallace, 8577 Corydon Ridge Rd, Lanesville, IN 47136-9434 Ph: () - | Deanna Wallace, 4915 Charlestown Rd, New Albany, IN 47150-9426 Ph: (812) 945-5221 |
Erika Prescott, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5181 Charlestown Crossing Way, New Albany, IN 47150 Phone: 502-345-7168 | |
Mrs. Amy Marie Braun, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4915 Charlestown Rd, New Albany, IN 47150 Phone: 812-945-5221 | |
Ms. Robin Bryant, MS. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4212 Charlestown Rd Ste 3, New Albany, IN 47150 Phone: 812-949-3272 Fax: 812-949-3271 | |
Mrs. Kristin Marie Reed, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 Charlestown Rd, New Albany, IN 47150 Phone: 812-945-4063 | |
Tanner Scanlon, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4915 Charlestown Rd, New Albany, IN 47150 Phone: 812-945-5221 | |
Mr. John Michael Gay Jr., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4915 Charlestown Rd, New Albany, IN 47150 Phone: 812-945-5221 | |
Mrs. Christine Marie Roberts, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Saint Joseph Rd, New Albany, IN 47150 Phone: 812-948-0670 |