Kelly Ann Suttle, OTR/L | |
110 Coal Creek Dr, Boiling Springs, SC 29316-7008 | |
(727) 858-7452 | |
Not Available |
Full Name | Kelly Ann Suttle |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 110 Coal Creek Dr, Boiling Springs, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215321740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2957 (South Carolina) | Primary |
Provider Name | Senior Rehab Source |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1043464118 PECOS PAC ID: 0941363808 Enrollment ID: O20090120000574 |
Mailing Address | Practice Location Address |
---|---|
Kelly Ann Suttle, OTR/L 110 Coal Creek Dr, Boiling Springs, SC 29316-7008 Ph: (727) 858-7452 | Kelly Ann Suttle, OTR/L 110 Coal Creek Dr, Boiling Springs, SC 29316-7008 Ph: (727) 858-7452 |
Mariah Fuimaono, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 632 Turning Leaf Cir, Boiling Springs, SC 29316 Phone: 816-797-8354 | |
Mrs. Courtney Johnson Rhodes, MHS, OTR/L, C/NDT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 Winslow Ct, Boiling Springs, SC 29316 Phone: 864-804-7959 Fax: 864-578-6220 |