Jelle Marie Tolentino Lasam, | |
4656 Livingston Rd Se, Washington, DC 20032-3149 | |
(202) 519-0982 | |
Not Available |
Full Name | Jelle Marie Tolentino Lasam |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 4656 Livingston Rd Se, Washington, District Of Columbia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093449860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Creative Health Care Management Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487239349 PECOS PAC ID: 4385929892 Enrollment ID: O20210427000697 |
Mailing Address | Practice Location Address |
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Jelle Marie Tolentino Lasam, 1214 Kingsbury Dr, Bowie, MD 20721-2021 Ph: (202) 766-3986 | Jelle Marie Tolentino Lasam, 4656 Livingston Rd Se, Washington, DC 20032-3149 Ph: (202) 519-0982 |
Miss Samora Casimir, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6900 Georgia Ave Nw, Washington, DC 20307 Phone: 443-802-7824 | |
Petra Doyle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 8th St Ne, Suite 301, Washington, DC 20002 Phone: 202-544-5439 | |
Lisa George, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4400 Jenifer St Nw, Suite 280, Washington, DC 20015 Phone: 202-244-8089 | |
Taylor Brown, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Independence Ave Se, Washington, DC 20003 Phone: 616-975-5064 | |
Andrea L. Meehan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Irving St Nw, Washington, DC 20422 Phone: 202-745-8000 | |
Samantha Fulp, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 T St Ne, Washington, DC 20002 Phone: 956-278-0770 | |
Tsegie Kassahun, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1818 Newton St Nw, Washington, DC 20010 Phone: 202-328-7400 |