Dinah Lynn Spence, | |
318 W Pike St, Suite 104, Lawrenceville, GA 30045-3234 | |
(678) 377-2833 | |
Not Available |
Full Name | Dinah Lynn Spence |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 318 W Pike St, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134287907 | NPI | - | NPPES |
10037598 | Other | GA | AMERIGROUP-AAKTS |
00819277B | Medicaid | GA | |
307935 | Other | GA | WELLCARE- AAKTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | OT002640 (Georgia) | Primary |
Provider Name | Broad River Rehabilitation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902317589 PECOS PAC ID: 3375801350 Enrollment ID: O20201229002348 |
Mailing Address | Practice Location Address |
---|---|
Dinah Lynn Spence, 5322 Deep Springs Dr, Stone Mountain, GA 30087-3628 Ph: (404) 634-5291 | Dinah Lynn Spence, 318 W Pike St, Suite 104, Lawrenceville, GA 30045-3234 Ph: (678) 377-2833 |
Anna Wicks, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 | |
Anna Kate Mccormick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 678-377-2833 | |
Ms. Alexis Shakeena Zimmerman, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Hurricane Shoals Rd Ne Ste 2300, Lawrenceville, GA 30043 Phone: 470-323-6711 | |
Kamille Rodriguez-olivo, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Jennifer Lynn Drake, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 | |
Janet Tackett, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Sarah Pirie Word, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046 Phone: 678-985-0238 Fax: 678-985-0136 |