Mariam Boulos, OTD, OTR/L | |
50 Baker Blvd Ste 4, Fairlawn, OH 44333-3635 | |
(330) 801-4308 | |
Not Available |
Full Name | Mariam Boulos |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 50 Baker Blvd Ste 4, Fairlawn, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508691684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT013024 (Ohio) | Primary |
Provider Name | Rehab Educators, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245585603 PECOS PAC ID: 2466605183 Enrollment ID: O20130109000145 |
Mailing Address | Practice Location Address |
---|---|
Mariam Boulos, OTD, OTR/L 4778 Barn Hill Dr, Akron, OH 44333-1692 Ph: () - | Mariam Boulos, OTD, OTR/L 50 Baker Blvd Ste 4, Fairlawn, OH 44333-3635 Ph: (330) 801-4308 |
Dr. Ryan A Domer, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 S Cleveland Massillon Rd, Fairlawn, OH 44333 Phone: 330-666-5866 | |
Brittany Stout, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd, #150a, Fairlawn, OH 44333 Phone: 330-867-2240 | |
Kelsey Moyra Washko, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Road, Suite 150a, Fairlawn, OH 44333 Phone: 216-219-0659 | |
Meredith Santiago, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 N Cleveland Massillon Rd, B, Fairlawn, OH 44333 Phone: 330-668-4041 Fax: 330-666-5626 | |
Deanna Smith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd Ste 150a, Fairlawn, OH 44333 Phone: 330-867-2240 | |
Madonna Smith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Miller Rd, Ste 150a, Fairlawn, OH 44333 Phone: 330-867-2240 Fax: 330-630-3198 | |
Ms. Elizabeth Grace Swope, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Baker Blvd, Suite1, Fairlawn, OH 44333 Phone: 330-865-1600 |