Lindsay Lively, | |
3725 Wheeler Rd, Augusta, GA 30909-6623 | |
(706) 868-6500 | |
Not Available |
Full Name | Lindsay Lively |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3725 Wheeler Rd, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629564968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | OT004777 (Georgia) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
Mailing Address | Practice Location Address |
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Lindsay Lively, 3709 Pebble Beach Dr, Martinez, GA 30907-9091 Ph: () - | Lindsay Lively, 3725 Wheeler Rd, Augusta, GA 30909-6623 Ph: (706) 868-6500 |
Amanda Petro, MSR, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Mary Elizabeth Miller Willson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Mr. Richard Jason Vital, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. April Neel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Stephanie Lynn Cathcart, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Crawford Ave, Augusta, GA 30904 Phone: 706-736-1255 | |
Tanner Kate Sauls, MHSOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437 | |
Kristal F. Wyatt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 Fax: 706-731-7165 |