Jennifer Depner, OTR/L | |
1575 John Knox Dr, Colfax, NC 27235-9662 | |
(336) 668-4900 | |
Not Available |
Full Name | Jennifer Depner |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1575 John Knox Dr, Colfax, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578967592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 6776 (North Carolina) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20220214000353 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Depner, OTR/L 9071 Mount Carmel Rd, Stokesdale, NC 27357-9269 Ph: (336) 802-1817 | Jennifer Depner, OTR/L 1575 John Knox Dr, Colfax, NC 27235-9662 Ph: (336) 668-4900 |
Amanda Arbaugh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 John Knox Dr, Colfax, NC 27235 Phone: 336-668-4900 | |
Ashley Samantha Kizzie, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 John Knox Dr, Colfax, NC 27235 Phone: 336-668-4900 | |
Meredith Burke Lukasevics, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 John Knox Dr, Colfax, NC 27235 Phone: 336-668-4900 | |
Karen R Fadri-atil, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 John Knox Dr, Colfax, NC 27235 Phone: 336-668-4900 | |
Breanne Powley, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 John Knox Dr, Colfax, NC 27235 Phone: 989-450-7874 | |
Hannah Spach, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 John Knox Dr, Colfax, NC 27235 Phone: 336-668-4900 |