Mallory Siefker, OTR/L | |
2535 Fort Amanda Rd, Lima, OH 45804-3728 | |
(419) 999-2055 | |
Not Available |
Full Name | Mallory Siefker |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2535 Fort Amanda Rd, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245699107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT007823 (Ohio) | Primary |
Provider Name | Encompass Care, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770107088 PECOS PAC ID: 2062752595 Enrollment ID: O20200724002029 |
Mailing Address | Practice Location Address |
---|---|
Mallory Siefker, OTR/L 1100 Shawnee Rd, Lima, OH 45805-3529 Ph: (419) 999-2010 | Mallory Siefker, OTR/L 2535 Fort Amanda Rd, Lima, OH 45804-3728 Ph: (419) 999-2055 |
Christina Callahan, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 N Eastown Rd, Lima, OH 45807 Phone: 419-221-6051 | |
Mr. John Alan Hollenbacher, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5095 Stewart Rd, Lima, OH 45801 Phone: 419-230-0042 | |
Dionna Noonan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 S Mumaugh Rd, Lima, OH 45804 Phone: 419-225-9040 Fax: 419-225-9835 | |
Julia Hutchins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Lima, OH 45804 Phone: 567-371-4430 | |
Marla Balog, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2075 N Eastown Rd, Lima, OH 45807 Phone: 419-331-2442 | |
Mrs. Diane Carol Winger, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Shawnee Rd, Lima, OH 45805 Phone: 419-999-2010 Fax: 419-999-6284 | |
Tammie Renee Haver, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 Brower Rd, Lima, OH 45801 Phone: 419-227-2611 |