Denise Boone, | |
3056 Anvil Block Rd, Suite 118, Ellenwood, GA 30294-2662 | |
(404) 366-8100 | |
Not Available |
Full Name | Denise Boone |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3056 Anvil Block Rd, Ellenwood, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285177204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT006166 (Georgia) | Primary |
Provider Name | Entelechy Rehab, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881063576 PECOS PAC ID: 0547549131 Enrollment ID: O20200117000469 |
Mailing Address | Practice Location Address |
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Denise Boone, 3446 Concord Loop, College Park, GA 30349-1065 Ph: () - | Denise Boone, 3056 Anvil Block Rd, Suite 118, Ellenwood, GA 30294-2662 Ph: (404) 366-8100 |
Keisha Patterson Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Fremont Dr, Ellenwood, GA 30294 Phone: 205-603-6929 | |
Keisha Patterson, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Fremont Dr, Ellenwood, GA 30294 Phone: 205-603-6929 | |
Olivia Jenice Olverson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 | |
Tracy Lin, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2508 Brookgate Way, Ellenwood, GA 30294 Phone: 404-957-5015 | |
Joi Moses, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 | |
Angela Harris, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 Fax: 888-381-0822 |