Lacie Marie Canizares, OTR/L | |
10221 Charterhouse Rd, Little Rock, AR 72227-2923 | |
(501) 249-3708 | |
Not Available |
Full Name | Lacie Marie Canizares |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 10221 Charterhouse Rd, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598493058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR2763 (Arkansas) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235780115 PECOS PAC ID: 6507832573 Enrollment ID: O20200115000830 |
Mailing Address | Practice Location Address |
---|---|
Lacie Marie Canizares, OTR/L 10221 Charterhouse Rd, Little Rock, AR 72227-2923 Ph: (501) 249-3708 | Lacie Marie Canizares, OTR/L 10221 Charterhouse Rd, Little Rock, AR 72227-2923 Ph: (501) 249-3708 |
Mr. Mark Bryan Ellis, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9601 Interstate 630 Exit 7, Little Rock, AR 72205 Phone: 501-202-7598 | |
Dr. Whitney Harper, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9000 N Rodney Parham Rd, Little Rock, AR 72205 Phone: 501-503-5160 | |
Mrs. Barbara Jean Wilson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 547-11, Little Rock, AR 72205 Phone: 501-686-6102 Fax: 501-296-1216 | |
Tiffany Vo Goodwin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 W Markham St, Little Rock, AR 72201 Phone: 501-447-1043 | |
Mr. Noah Robert Hansen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10618 Breckenridge Dr, Little Rock, AR 72211 Phone: 501-217-8600 Fax: 501-217-8636 | |
Amber Douglas, OTR/L, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 629 Jack Stephens Dr, Rehabilitation Services, Little Rock, AR 72205 Phone: 501-526-5770 | |
Mrs. Shannon Leigh Taylor, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9601 I-630 Exit 7, Little Rock, AR 72205 Phone: 501-202-7598 |