Jace Edward Anderson, OTR/L | |
13 E. Center Street, Gunnison, UT 84634 | |
(435) 528-7575 | |
Not Available |
Full Name | Jace Edward Anderson |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 13 E. Center Street, Gunnison, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659863504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (Utah) | Primary |
Provider Name | Therapy West Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184678070 PECOS PAC ID: 8921098567 Enrollment ID: O20040514001009 |
Mailing Address | Practice Location Address |
---|---|
Jace Edward Anderson, OTR/L Po Box 396, Gunnison, UT 84634-0396 Ph: (435) 528-7575 | Jace Edward Anderson, OTR/L 13 E. Center Street, Gunnison, UT 84634 Ph: (435) 528-7575 |
Hillary May Palmer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 E Center St., Gunnison, UT 84634 Phone: 435-528-7575 | |
Blain W Bradford, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 E Center, Gunnison, UT 84634 Phone: 435-660-1523 Fax: 435-528-7000 | |
Brian Thompson, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13 E Center St, Gunnison, UT 84634 Phone: 435-289-6210 |