Marian Porter Mandell, OTRL | |
4414 W Anita Blvd, Tampa, FL 33611-1116 | |
(813) 789-2419 | |
Not Available |
Full Name | Marian Porter Mandell |
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Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 4414 W Anita Blvd, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104146976 | NPI | - | NPPES |
006735200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 008847-1N (New York) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | OT15452 (Florida) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037 |
Mailing Address | Practice Location Address |
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Marian Porter Mandell, OTRL 4414 W Anita Blvd, Tampa, FL 33611-1116 Ph: (813) 789-2419 | Marian Porter Mandell, OTRL 4414 W Anita Blvd, Tampa, FL 33611-1116 Ph: (813) 789-2419 |
Ria Resurreccion Camerino, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 N Rocky Point Dr, #650, Tampa, FL 33607 Phone: 800-892-0640 | |
Mrs. Lauren Cheryl Sheridan, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5035 E Busch Blvd Ste 7, Tampa, FL 33617 Phone: 813-631-9700 | |
Mrs. Nancy Nmn Mcgee-hernandez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Mailing Code 117, Tampa, FL 33612 Phone: 813-972-2000 Fax: 813-978-5852 | |
Michele Garrett Foon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Hwy, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768 | |
Twanettha Henry, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 E 22nd Ave, Tampa, FL 33605 Phone: 813-229-6901 | |
Kelsey Mcneely, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1907 W Bristol Ave, Tampa, FL 33606 Phone: 678-549-9088 | |
Valentina Solunac, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Bayshore Blvd, Tampa, FL 33629 Phone: 813-352-1776 |