Jackie Marie Sides, OTR/L, CHT | |
165 Holt Garrison Pkwy Ste 595-a, Danville, VA 24540-5949 | |
(434) 688-0163 | |
Not Available |
Full Name | Jackie Marie Sides |
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Gender | Female |
Speciality | Occupational Therapist - Hand |
Location | 165 Holt Garrison Pkwy Ste 595-a, Danville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659085207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225XH1200X | Occupational Therapist - Hand | 0119003320 (Virginia) | Primary |
Provider Name | Professional Therapies Of Roanoke, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1093372781 PECOS PAC ID: 3375710619 Enrollment ID: O20190906002502 |
Mailing Address | Practice Location Address |
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Jackie Marie Sides, OTR/L, CHT 2050 Pointer Rd, Alton, VA 24520-3508 Ph: (757) 448-5674 | Jackie Marie Sides, OTR/L, CHT 165 Holt Garrison Pkwy Ste 595-a, Danville, VA 24540-5949 Ph: (434) 688-0163 |
Miranda Showalter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 Deer Run Rd, Danville, VA 24540 Phone: 434-797-5531 | |
Sarah Elkington, OTR, CNT, CIMI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Executive Dr Ste A, Danville, VA 24541 Phone: 573-218-4002 | |
Sarah Cox, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 Deer Run Rd, Danville, VA 24540 Phone: 434-836-0239 Fax: 434-836-0250 | |
Ms. Karilyn Kay Childs, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2943 Riverside Dr, D-e, Danville, VA 24541 Phone: 186-679-9773 | |
Allyson M. G. Carroll, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 Deer Run Rd, Danville, VA 24540 Phone: 434-797-5531 Fax: 434-797-5529 | |
Mrs. Cara Weatherford Payne, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 159 Executive Dr Suite A, Danville, VA 24541 Phone: 434-799-7732 Fax: 866-468-5040 | |
Moving Foward Rehab Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3594 Westover Dr, Danville, VA 24541 Phone: 434-251-2699 |