| D.s.douglas Otr/l Llc | |
|
411 W State St, Black Mountain, NC 28711-3344 | |
| (828) 669-8800 | |
| Not Available |
| Full Name | D.s.douglas Otr/l Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 411 W State St, Black Mountain, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114104585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1435 (North Carolina) | Primary |
| Provider Name | Diane S Douglas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811196371 PECOS PAC ID: 0143303412 Enrollment ID: I20080208000463 |
| Mailing Address | Practice Location Address |
|---|---|
| D.s.douglas Otr/l Llc 538 Dye Leaf Ln, Fairview, NC 28730-9652 Ph: () - | D.s.douglas Otr/l Llc 411 W State St, Black Mountain, NC 28711-3344 Ph: (828) 669-8800 |
Angela Porter Lisenby, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 White Oak Trl, Black Mountain, NC 28711 Phone: 404-358-8461 | |
Mr. Stuart Alexander Turner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Tabernacle Rd, Black Mountain, NC 28711 Phone: 828-669-6473 | |
Andrew St George Gladding, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Tabernacle Rd, Black Mountain, NC 28711 Phone: 828-357-2016 Fax: 828-357-1098 | |
Ms. Janice Leigh Donnell, MS, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Allen Mountain Dr, Black Mountain, NC 28711 Phone: 828-669-2919 | |
Jane Blount, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Old Us Hwy 70 E, Black Mountain, NC 28711 Phone: 828-669-3800 | |
Jennifer Lynn Lewis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Old Us Hwy 70 E, Black Mountain, NC 28711 Phone: 828-669-9991 |