| Melissa Holmstrom, | |
|
36430 Us Highway 19 N, Palm Harbor, FL 34684-1330 | |
| (727) 330-0240 | |
| Not Available |
| Full Name | Melissa Holmstrom |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 36430 Us Highway 19 N, Palm Harbor, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780737999 | NPI | - | NPPES |
| P010011417 | Other | NY | EXCELLUS |
| 7514738 | Other | NY | AETNA |
| MDJ001 | Other | NY | PREFERRED CARE |
| P02011417 | Other | NY | CROSSBRIDGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 22360 (Florida) | Primary |
| Provider Name | Autism Awareness Shop |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316607849 PECOS PAC ID: 4880077106 Enrollment ID: O20220819001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Holmstrom, 7130 Emerald Spring Loop, New Port Richey, FL 34653-6961 Ph: (585) 509-1140 | Melissa Holmstrom, 36430 Us Highway 19 N, Palm Harbor, FL 34684-1330 Ph: (727) 330-0240 |
Kari Rasmussen, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Tampa Rd, Palm Harbor, FL 34683 Phone: 813-503-3430 | |
Lidu Ivette Potter, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 971 Virginia Ave, Suite A, Palm Harbor, FL 34683 Phone: 727-773-2687 Fax: 727-773-2742 | |
Colleen Horan, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 31840 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 727-202-9200 | |
Maria Dina Quintela, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 36413 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 813-978-9700 | |
Ms. Marcia B Ellis, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34921 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 727-573-2747 | |
Joyful Motion Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2150 Alt 19 Ste A, Palm Harbor, FL 34683 Phone: 727-773-2687 Fax: 727-773-2742 | |
Ms. Kelsie Alyse Dabelstein, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2150 Alt 19 Ste A, Palm Harbor, FL 34683 Phone: 727-773-2687 |