Miss Patria Le'nica Douglas, MSOT | |
7172 50th Avenue Cir E, Palmetto, FL 34221-9411 | |
(305) 587-4441 | |
Not Available |
Full Name | Miss Patria Le'nica Douglas |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 7172 50th Avenue Cir E, Palmetto, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285980433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | T00957 (Maryland) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140 |
Mailing Address | Practice Location Address |
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Miss Patria Le'nica Douglas, MSOT 7172 50th Avenue Cir E, Palmetto, FL 34221-9411 Ph: (305) 587-4441 | Miss Patria Le'nica Douglas, MSOT 7172 50th Avenue Cir E, Palmetto, FL 34221-9411 Ph: (305) 587-4441 |
Moira Pinto Small, OTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-722-3582 | |
Meghann Regina Ehling, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-722-3582 Fax: 941-729-8322 | |
Laura Sardone, OTR,L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-722-3582 Fax: 941-729-8322 | |
Genevieve Winston, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-722-3582 | |
Lori Lovesky, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-722-3582 Fax: 941-729-8322 | |
Mrs. Suzette Maya Dibattista, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-722-3582 Fax: 941-729-8322 | |
Kimberly Lauren Seaward Whited, MS/OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-379-3725 Fax: 941-377-1131 |