| Heidi Leticia Bristow, OTR/L | |
|
3200 Northline Ave Ste 160, Greensboro, NC 27408-7613 | |
| (336) 545-5000 | |
| (336) 545-5020 |
| Full Name | Heidi Leticia Bristow |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3200 Northline Ave Ste 160, Greensboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215471792 | NPI | - | NPPES |
| 8430 | Other | NC | OT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8430 (North Carolina) | Primary |
| Provider Name | Emergeortho Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Leticia Bristow, OTR/L Po Box 5105, Belfast, ME 04915-5100 Ph: (336) 545-5000 | Heidi Leticia Bristow, OTR/L 3200 Northline Ave Ste 160, Greensboro, NC 27408-7613 Ph: (336) 545-5000 |
Olivia Lickwar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3907a W Market St, Greensboro, NC 27407 Phone: 336-279-9008 Fax: 336-740-9099 | |
Joshua Caleb Clapper, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Northline Ave Ste 160, Greensboro, NC 27408 Phone: 336-545-5000 Fax: 336-545-5020 | |
Mrs. Barri Ann Maxwell, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Dundas Cir Ste B, Greensboro, NC 27407 Phone: 336-294-3338 Fax: 336-294-6696 | |
Mrs. Nancy Elizabeth Johnson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Spring Garden St, Greensboro, NC 27403 Phone: 336-294-3338 Fax: 336-294-6696 | |
Leila Early, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Meadowood St, Apartment 232, Greensboro, NC 27409 Phone: 336-285-5068 | |
Janice Miller Leopold, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 N Church St, Ste 201, Greensboro, NC 27401 Phone: 336-375-4263 Fax: 336-275-2286 | |
Sharon A. Faust, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Benjamin Pkwy, Greensboro, NC 27408 Phone: 336-545-5000 Fax: 336-545-3566 |