Joel Lucky, OTRL | |
1805 Ringtail Dr, Little Elm, TX 75068-8484 | |
(940) 535-8105 | |
(940) 241-4204 |
Full Name | Joel Lucky |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1805 Ringtail Dr, Little Elm, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962278036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 109441 (Texas) | Primary |
Provider Name | Matt Bonander Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1154074201 PECOS PAC ID: 3274928023 Enrollment ID: O20220315001306 |
Mailing Address | Practice Location Address |
---|---|
Joel Lucky, OTRL 207 Barkley Dr, Hickory Creek, TX 75065-2950 Ph: (469) 348-1218 | Joel Lucky, OTRL 1805 Ringtail Dr, Little Elm, TX 75068-8484 Ph: (940) 535-8105 |
Ms. Ruth Fisher Itzstein, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2616 Longbow Dr, Little Elm, TX 75068 Phone: 214-901-2264 | |
Elizabeth Neill, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 Shell Beach Dr, Little Elm, TX 75068 Phone: 972-547-3575 | |
Mrs. Tamara Odie-rosado, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2402 Hammock Lake Dr, Little Elm, TX 75068 Phone: 214-317-9931 | |
Lymphedema Therapy Source Occupational Therapist Medicare: Medicare Enrolled Practice Location: 309 W Eldorado Pkwy Ste 108, Little Elm, TX 75068 Phone: 214-422-8265 | |
Brian Holland, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Dove Creek Dr, Little Elm, TX 75068 Phone: 213-804-4327 | |
Rebecca Summers, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 309 W Eldorado Pkwy Ste 108, Little Elm, TX 75068 Phone: 214-422-8265 |