Jennifer Ouanita Deaderick, OT | |
190 Broadway St Ste 101, Asheville, NC 28801-2501 | |
(828) 412-0908 | |
Not Available |
Full Name | Jennifer Ouanita Deaderick |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 23 Years |
Location | 190 Broadway St Ste 101, Asheville, North Carolina |
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 |
---|---|---|---|
1255541405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT1436 (California) | Secondary |
225X00000X | Occupational Therapist | OT17937 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thrive Therapeutics Asheville Incorporated | 6305250218 | 6 |
Provider Name | Thrive Therapeutics Asheville Incorporated |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083204945 PECOS PAC ID: 6305250218 Enrollment ID: O20210203002243 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Ouanita Deaderick, OT 25 Bradley St, Asheville, NC 28806-4406 Ph: (828) 412-0908 | Jennifer Ouanita Deaderick, OT 190 Broadway St Ste 101, Asheville, NC 28801-2501 Ph: (828) 412-0908 |
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