Jacqueline Manus, OTR/L | |
19600 E Ross St, Tahlequah, OK 74464-0545 | |
(539) 234-1000 | |
Not Available |
Full Name | Jacqueline Manus |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 19600 E Ross St, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083085377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5310 (Oklahoma) | Primary |
Provider Name | Cherokee Nation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
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Jacqueline Manus, OTR/L 26863 E 804 Rd, Welling, OK 74471-2341 Ph: () - | Jacqueline Manus, OTR/L 19600 E Ross St, Tahlequah, OK 74464-0545 Ph: (539) 234-1000 |
Summer Lynn Brixey, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 N Grand Ave, Tahlequah, OK 74464 Phone: 918-708-2119 | |
Ashley Nicole Graham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2506 Diffee Dr, Tahlequah, OK 74464 Phone: 405-501-1547 | |
Ms. M. Marget Wincent, OTIII Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 W Keetoowah St, Tahlequah, OK 74464 Phone: 918-708-9558 Fax: 918-708-9580 | |
Steven Albert Chase, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-506-6870 Fax: 918-453-9409 | |
Laura Beth Harlen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-458-2404 | |
Lesley Diane Fain, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 |