Julie Ennis, OT | |
1221 Gay St, Dandridge, TN 37725-4723 | |
(865) 397-3194 | |
(865) 397-3194 |
Full Name | Julie Ennis |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1221 Gay St, Dandridge, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770959876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1566 (Tennessee) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20121228000137 |
Mailing Address | Practice Location Address |
---|---|
Julie Ennis, OT 1221 Gay St, Dandridge, TN 37725-4723 Ph: (865) 397-3194 | Julie Ennis, OT 1221 Gay St, Dandridge, TN 37725-4723 Ph: (865) 397-3194 |
Priya Patel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 Industrial Park Rd, Dandridge, TN 37725 Phone: 316-386-5397 | |
Melda Parton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 Industrial Park Rd, Dandridge, TN 37725 Phone: 865-397-3711 | |
Diane Overhiser, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1221 Gay St, Dandridge, TN 37725 Phone: 865-397-3194 Fax: 865-397-3194 | |
Mrs. Beth Ann Ballinger, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 572 Sam Martin Rd, Dandridge, TN 37725 Phone: 865-382-4209 | |
Daphne Lakin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1221 Gay St, Dandridge, TN 37725 Phone: 865-397-3194 |