Jordana Hicks, OT | |
840 Hammond St Ste 2, Bangor, ME 04401-4388 | |
(207) 433-7778 | |
(866) 220-5031 |
Full Name | Jordana Hicks |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 840 Hammond St Ste 2, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184342149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3232 (Maine) | Primary |
Provider Name | Dragonfly Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134192040 PECOS PAC ID: 1052334307 Enrollment ID: O20060112000495 |
Mailing Address | Practice Location Address |
---|---|
Jordana Hicks, OT 840 Hammond St Ste 2, Bangor, ME 04401-4388 Ph: (207) 433-7778 | Jordana Hicks, OT 840 Hammond St Ste 2, Bangor, ME 04401-4388 Ph: (207) 433-7778 |
Courtney L St.pierre, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Stillwater Ave, Bangor, ME 04401 Phone: 207-947-7605 | |
Alena Ayotte, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100 | |
Katie A Wiggin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Hammond St, Bangor, ME 04401 Phone: 207-992-4042 Fax: 207-992-4043 | |
Alexandra Gardiner, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Gilman Plz, Bangor, ME 04401 Phone: 207-990-0162 | |
Katherine Dionne, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100 | |
Maria Glidden, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100 | |
Mr. Harland Thomas Grant Iii, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Cumberland Pl Ste 108, Bangor, ME 04401 Phone: 207-990-9000 Fax: 207-945-8645 |