Dr Molly Upchurcch Hynum, OTDL/R | |
217 Methodist Blvd, Hattiesburg, MS 39402-1338 | |
(601) 329-2030 | |
Not Available |
Full Name | Dr Molly Upchurcch Hynum |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 217 Methodist Blvd, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770335804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-3962 (Mississippi) | Primary |
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230227001721 |
Mailing Address | Practice Location Address |
---|---|
Dr Molly Upchurcch Hynum, OTDL/R 27 Lake Forgetful Apt 631, Hattiesburg, MS 39402-8286 Ph: (662) 588-9353 | Dr Molly Upchurcch Hynum, OTDL/R 217 Methodist Blvd, Hattiesburg, MS 39402-1338 Ph: (601) 329-2030 |
Jessica Kopf Cornett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-264-0310 | |
Jeremy Lofton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 | |
Carly Toups, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 | |
Lee Pace, FNP, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Alicia Thornton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 Fax: 601-607-1377 | |
Kellie Sasser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-543-0310 | |
Naja Walton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 |