Lateasha Gaither-davis, OTR/L | |
305 N 5th St, West Memphis, AR 72301-3213 | |
(870) 400-0179 | |
(870) 400-0479 |
Full Name | Lateasha Gaither-davis |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 305 N 5th St, West Memphis, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952602229 | NPI | - | NPPES |
113898 | Other | TX | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 113898 (Texas) | Primary |
Provider Name | Therapeutic Focus Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972875896 PECOS PAC ID: 1355577297 Enrollment ID: O20131122001177 |
Mailing Address | Practice Location Address |
---|---|
Lateasha Gaither-davis, OTR/L 305 N 5th St, West Memphis, AR 72301-3213 Ph: (870) 400-0179 | Lateasha Gaither-davis, OTR/L 305 N 5th St, West Memphis, AR 72301-3213 Ph: (870) 400-0179 |
Erika Lashea Butler, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 W Tyler Ave, Suite B, West Memphis, AR 72301 Phone: 870-732-8555 | |
Stacy Kay Castleberry, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 S Avalon St, West Memphis, AR 72301 Phone: 870-735-4543 Fax: 870-732-4490 | |
Mary Sorrels, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 413 W Tyler Ave, West Memphis, AR 72301 Phone: 870-733-1200 Fax: 870-732-3269 | |
Ms. Faith Carter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 N Missouri St, West Memphis, AR 72301 Phone: 870-400-0179 | |
Erin Nash Nave, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 413 W Tyler Ave, West Memphis, AR 72301 Phone: 870-733-1200 | |
Mrs. Shani Henley Doyle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 N Missouri St Ste 1, West Memphis, AR 72301 Phone: 870-834-9452 | |
Mrs. Allison T Carroll, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 207 Balfour Rd, West Memphis, AR 72301 Phone: 870-733-9950 |