Keri A Paulson, OTR/L | |
1201 Ricker Rd, Salem, IL 62881-4263 | |
(618) 548-3194 | |
(618) 548-4902 |
Full Name | Keri A Paulson |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1201 Ricker Rd, Salem, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881964948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056005578 (Illinois) | Primary |
Provider Name | Select Physical Therapy Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1942475488 PECOS PAC ID: 9537076401 Enrollment ID: O20180808002894 |
Mailing Address | Practice Location Address |
---|---|
Keri A Paulson, OTR/L 1201 Ricker Rd, Salem, IL 62881-4263 Ph: (618) 548-3194 | Keri A Paulson, OTR/L 1201 Ricker Rd, Salem, IL 62881-4263 Ph: (618) 548-3194 |
Mr. Thomas Henry Partain, L.O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 Fax: 618-548-4902 | |
Paige Elizabeth Johnson, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1201 Hawthorn Rd, Salem, IL 62881 Phone: 618-322-2062 | |
Josee Redpath, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4884 Fax: 618-548-2150 |