Emilia Blackwell, OT | |
921 Columbus Dr, Pascagoula, MS 39567-6481 | |
(228) 990-0576 | |
Not Available |
Full Name | Emilia Blackwell |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 921 Columbus Dr, Pascagoula, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831643345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3255 (Mississippi) | Primary |
Provider Name | Occupational Therapy By Emilia |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1295585966 PECOS PAC ID: 7911346820 Enrollment ID: O20240411001971 |
Mailing Address | Practice Location Address |
---|---|
Emilia Blackwell, OT 921 Columbus Dr, Pascagoula, MS 39567-6481 Ph: (228) 990-0576 | Emilia Blackwell, OT 921 Columbus Dr, Pascagoula, MS 39567-6481 Ph: (228) 990-0576 |
Torre Wells, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-471-1521 Fax: 228-471-1548 | |
Anna Elizabeth Weldon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Uss Wisconsin Loop Building 75, Pascagoula, MS 39567 Phone: 228-935-8861 | |
Occupational Therapy By Emilia Occupational Therapist Medicare: Medicare Enrolled Practice Location: 921 Columbus Dr, Pascagoula, MS 39567 Phone: 228-990-0576 | |
Ryan Thompson, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4403 Hospital St, Pascagoula, MS 39581 Phone: 228-762-8960 | |
Rose Wittersheim, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4403 Hospital St, Pascagoula, MS 39581 Phone: 626-803-1486 | |
Madison Dale Nickens, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: U S S Wisconsin Loop, Pascagoula, MS 39595 Phone: 601-270-1430 |