Jennifer Deslich, OT | |
165 Ridgecrest Cir Ste B, Clayton, GA 30525-4196 | |
(678) 357-5849 | |
(706) 534-6750 |
Full Name | Jennifer Deslich |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 11 Years |
Location | 165 Ridgecrest Cir Ste B, Clayton, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790107993 | NPI | - | NPPES |
003141022A | Medicaid | GA |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fundamental Therapy Services Llc | 4789936113 | 2 |
Provider Name | Fundamental Therapy Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780110155 PECOS PAC ID: 4789936113 Enrollment ID: O20181011002104 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Deslich, OT 4649 E Wolf Creek Rd, Tiger, GA 30576-2946 Ph: (678) 357-5849 | Jennifer Deslich, OT 165 Ridgecrest Cir Ste B, Clayton, GA 30525-4196 Ph: (678) 357-5849 |
Ms. Ashley D. Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Ridgecrest Cir Ste B, Clayton, GA 30525 Phone: 678-357-5849 | |
Mrs. Jamie Lynn Nash, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Ridgecrest Cir, Clayton, GA 30525 Phone: 678-357-5849 | |
Shannon Michelle Mattingly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 N Main St, Suite 102, Clayton, GA 30525 Phone: 706-212-0661 Fax: 706-212-0662 | |
Fundamental Therapy Services, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 165 Ridgecrest Cir, Clayton, GA 30525 Phone: 678-357-5849 | |
Miss Sara Louise Brett, O.T.R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 547 Warwoman Rd, Mvhc, Clayton, GA 30525 Phone: 706-782-4276 Fax: 706-782-0303 | |
Kayla Nicole Parker, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Ridgecrest Cir, Clayton, GA 30525 Phone: 706-782-6330 Fax: 706-532-6750 |