Mary Elizabeth Long, OT | |
1535 Appling Care Ln, Cordova, TN 38016-4994 | |
(901) 203-5228 | |
Not Available |
Full Name | Mary Elizabeth Long |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1535 Appling Care Ln, Cordova, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407592579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Ave Maria Home |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831250604 PECOS PAC ID: 2365518909 Enrollment ID: O20211028001255 |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174308647 PECOS PAC ID: 5193036432 Enrollment ID: O20231018002544 |
Mailing Address | Practice Location Address |
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Mary Elizabeth Long, OT 665 Tennessee St Apt 202, Memphis, TN 38103-8795 Ph: (731) 363-5212 | Mary Elizabeth Long, OT 1535 Appling Care Ln, Cordova, TN 38016-4994 Ph: (901) 203-5228 |
Mrs. Tireka Vonsha Hobson, OT Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1536 Appling Care Ln, Cordova, TN 38016 Phone: 901-385-1803 | |
Sarah Corda, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 955 N Germantown Pkwy, Cordova, TN 38018 Phone: 901-754-1393 Fax: 901-751-9799 | |
Kristen Shadle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Timber Creek Dr Ste 1, Cordova, TN 38018 Phone: 901-309-3077 Fax: 901-309-3072 | |
Laura Sowdon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1181 Vickery Ln, Suite 102, Cordova, TN 38016 Phone: 901-729-7773 | |
Mr. Marwyn Garibay Benemerito, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 895 Willow Tree Cir, Suite 100, Cordova, TN 38018 Phone: 901-309-5219 Fax: 901-309-5265 | |
Mrs. Victoria Brooks Fisher, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1536 Appling Care Ln, Cordova, TN 38016 Phone: 901-385-1803 | |
Ms. Karen Dimaano Garello, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 955 N Germantown Pkwy, Cordova, TN 38018 Phone: 901-752-5996 |