Haley Allen, | |
405 Hunter St, Espanola, NM 87532-2656 | |
(618) 447-2422 | |
Not Available |
Full Name | Haley Allen |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 405 Hunter St, Espanola, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669033056 | NPI | - | NPPES |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20121228000137 |
Mailing Address | Practice Location Address |
---|---|
Haley Allen, 1225 Broadrick Dr, Dalton, GA 30720-2504 Ph: (706) 272-6199 | Haley Allen, 405 Hunter St, Espanola, NM 87532-2656 Ph: (618) 447-2422 |
Theresa Ann Guenard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Hunter St, Espanola, NM 87532 Phone: 505-753-2254 | |
Kristina Sampsel, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Calle Don Diego, Espanola, NM 87532 Phone: 505-753-2254 | |
Deborah Ann Schmalbach, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 714 Calle Don Diego, Espanola, NM 87532 Phone: 505-367-3342 | |
Ms. Anna Maria Rivera, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 714 Calle Don Diego, Espanola, NM 87532 Phone: 505-367-3362 | |
Amanda Rose Vander Wiel, OT R/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 706 La Joya St, Espanola, NM 87532 Phone: 732-770-6838 |