Jacy Jane Whaley, MOTR/L | |
701 W 6th St, Grafton, ND 58237-1379 | |
(701) 352-4545 | |
Not Available |
Full Name | Jacy Jane Whaley |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 701 W 6th St, Grafton, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073038436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1577 (North Dakota) | Primary |
Provider Name | Life Skills And Transition Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558427708 PECOS PAC ID: 7113986159 Enrollment ID: O20041006000563 |
Mailing Address | Practice Location Address |
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Jacy Jane Whaley, MOTR/L 701 W 6th St, Grafton, ND 58237-1379 Ph: (701) 352-4545 | Jacy Jane Whaley, MOTR/L 701 W 6th St, Grafton, ND 58237-1379 Ph: (701) 352-4545 |
Mrs. Mary Dusek, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 701 W 6th St, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 | |
Angela Faith Solseng, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 W 6th St, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 | |
Averi Ashton Lundebrek, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 W Midway Dr, Grafton, ND 58237 Phone: 701-330-8812 | |
John Brian Leclerc, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 816 W Midway Dr, Grafton, ND 58237 Phone: 701-352-4545 | |
Lexie Anne Woinarowicz, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1454 Mchugh Ave, Grafton, ND 58237 Phone: 701-360-3219 | |
Ashley Mathiason, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 Cooper Avenue, Suite 102, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 |