Galla Bonanni, OT | |
1050 Medical Center Blvd, Marrero, LA 70072-3144 | |
(504) 347-0777 | |
Not Available |
Full Name | Galla Bonanni |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1050 Medical Center Blvd, Marrero, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912515842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 323690 (Louisiana) | Primary |
Provider Name | Fox Rehabilitation Services La Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952027906 PECOS PAC ID: 7214309079 Enrollment ID: O20230206000420 |
Mailing Address | Practice Location Address |
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Galla Bonanni, OT 106 N Gatehouse Dr Apt R, Metairie, LA 70001-7509 Ph: (504) 284-1146 | Galla Bonanni, OT 1050 Medical Center Blvd, Marrero, LA 70072-3144 Ph: (504) 347-0777 |
Maci Miller, LCOTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4899 Westbank Expy Ste D, Marrero, LA 70072 Phone: 504-341-7300 | |
Rebecca Toups Callais, LOTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd Ste S750, Marrero, LA 70072 Phone: 504-340-6976 | |
Tiffany Stafford, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Medical Center Blvd, Marrero, LA 70072 Phone: 504-874-2022 | |
Bonnie Gibbons, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-0777 | |
Tracy Boudoin, LOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Anchorage Dr, Marrero, LA 70072 Phone: 504-616-4523 | |
Kaitlyn Foret Stall, MOT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 Phone: 504-340-6976 Fax: 504-934-8044 | |
Kristen Bonfiglio, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-0777 |