Michele Kathleen Miranda, | |
804 Towne Park Dr Ste 400, Rincon, GA 31326-5153 | |
(912) 826-5450 | |
(912) 826-6413 |
Full Name | Michele Kathleen Miranda |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 31 Years |
Location | 804 Towne Park Dr Ste 400, Rincon, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194386482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT007331 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optim Orthopedics Llc | 9931427002 | 85 |
Optim Orthopedics Llc | 9931427002 | 85 |
Provider Name | Optim Orthopedics Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780077982 PECOS PAC ID: 9931427002 Enrollment ID: O20150429001342 |
Mailing Address | Practice Location Address |
---|---|
Michele Kathleen Miranda, 617 Towne Park Dr W Apt 527, Rincon, GA 31326-4117 Ph: () - | Michele Kathleen Miranda, 804 Towne Park Dr Ste 400, Rincon, GA 31326-5153 Ph: (912) 826-5450 |
Mrs. Melinda Kim Hawkins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 366 Half Moon Rd, Rincon, GA 31326 Phone: 912-754-1291 | |
Kristen Moore, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5723 Ga-21, Rincon, Ga, 31326, Rincon, GA 31326 Phone: 912-667-6468 | |
Deborah Patalano, OTR/L, LMT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Ridgewood Cir, Rincon, GA 31326 Phone: 912-826-6064 | |
Ava True, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5723 Ga Highway 21 S, Rincon, GA 31326 Phone: 912-667-6468 Fax: 912-324-4241 |