Kallie W Mann, OTR | |
650 S Dodson Rd, Rogers, AR 72758-7015 | |
(479) 271-7120 | |
Not Available |
Full Name | Kallie W Mann |
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Gender | Female |
Speciality | Occupational Therapist - Gerontology |
Location | 650 S Dodson Rd, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841869427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XG0600X | Occupational Therapist - Gerontology | OTR2990 (Arkansas) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023684370 PECOS PAC ID: 2163339722 Enrollment ID: O20210825003977 |
Mailing Address | Practice Location Address |
---|---|
Kallie W Mann, OTR 21 Basildon Cir, Bella Vista, AR 72715-8842 Ph: (704) 472-3826 | Kallie W Mann, OTR 650 S Dodson Rd, Rogers, AR 72758-7015 Ph: (479) 271-7120 |
Sarah Jordan Reeves, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2510 W Hudson Rd, Rogers, AR 72756 Phone: 479-936-1061 | |
Britney Lamont, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Poplar St, Rogers, AR 72756 Phone: 479-631-7678 | |
Dr. Adelline Grace Posey Maddux, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Poplar St, Rogers, AR 72756 Phone: 479-631-7678 Fax: 479-631-8886 | |
Anna Elizabeth Porta, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4804 W Red Maple Ct, Rogers, AR 72758 Phone: 479-466-7136 | |
Katelyn Estelle Simmons, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2510 W Hudson Rd, Rogers, AR 72756 Phone: 479-936-1061 Fax: 855-812-1132 | |
Sabrina Elisabeth Mashburn, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Poplar St, Rogers, AR 72756 Phone: 479-631-7678 | |
Kelly C Yates, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Rainbow Rd, Rogers, AR 72758 Phone: 479-521-8326 Fax: 479-521-5439 |