Elizabeth Ann Rockwell, | |
2081 N Main St, Canton, IL 61520-1032 | |
(309) 647-6135 | |
Not Available |
Full Name | Elizabeth Ann Rockwell |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2081 N Main St, Canton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144496050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056002426 (Illinois) | Primary |
Provider Name | Synergy Care Southeast Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20240731002829 |
Mailing Address | Practice Location Address |
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Elizabeth Ann Rockwell, 2081 N Main St, Canton, IL 61520-1032 Ph: () - | Elizabeth Ann Rockwell, 2081 N Main St, Canton, IL 61520-1032 Ph: (309) 647-6135 |
Ms. Kathleen S. Goranson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2081 N Main St, Canton, IL 61520 Phone: 309-647-6135 | |
Mrs. Karen Elizabeth Lee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26691 E County Highway 27, Canton, IL 61520 Phone: 309-338-4922 | |
Christina Willey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 |