Jonathan Glavich, OTR/L | |
1221 Broad St, Fuquay Varina, NC 27526-3602 | |
(919) 552-4580 | |
Not Available |
Full Name | Jonathan Glavich |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 1221 Broad St, Fuquay Varina, 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 |
---|---|---|---|
1427768134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 15274 (North Carolina) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
Mailing Address | Practice Location Address |
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Jonathan Glavich, OTR/L 105 Barningham Ct, Cary, NC 27519-5505 Ph: (919) 744-7852 | Jonathan Glavich, OTR/L 1221 Broad St, Fuquay Varina, NC 27526-3602 Ph: (919) 552-4580 |
Ms. Madalyn Marie Payden, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 Fax: 919-578-8780 | |
Pamela Graham, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 N Main St, Fuquay Varina, NC 27526 Phone: 616-717-1665 | |
Joanne Scannell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 South Fuquay Ave, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Shining Stars Therapy, Pa Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Drive, Fuquay Varina, NC 27526 Phone: 919-557-8305 Fax: 919-557-8306 | |
Mrs. Bridget Ann Peterson, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 S Fuquay Ave, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Lara Jones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Mrs. Jennifer Helen Popham, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 Fax: 919-557-8306 |