| Modified Independence Evaluations Inc | |
|
1280 Harbour Town Dr, Orange Park, FL 32065-2562 | |
| (904) 710-8571 | |
| Not Available |
| Full Name | Modified Independence Evaluations Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 1280 Harbour Town Dr, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356037980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Kristopher Edward Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578739975 PECOS PAC ID: 7911363668 Enrollment ID: I20230522003456 |
| Mailing Address | Practice Location Address |
|---|---|
| Modified Independence Evaluations Inc 1280 Harbour Town Dr, Orange Park, FL 32065-2562 Ph: (904) 710-8571 | Modified Independence Evaluations Inc 1280 Harbour Town Dr, Orange Park, FL 32065-2562 Ph: (904) 710-8571 |
Mrs. Ashley Marie Loveland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 Kingsley Ave, Orange Park, FL 32073 Phone: 904-269-8922 | |
Brooks Rehabilitation Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave, Orange Park, FL 32073 Phone: 904-278-7890 | |
Athena Hunsicker, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 550 Wells Rd, Orange Park, FL 32073 Phone: 904-278-7890 | |
April Diane Coats, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Wells Rd, Suite 4, Orange Park, FL 32073 Phone: 904-278-7890 Fax: 904-278-7762 | |
Mrs. Jennifer Stanley Estrada, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 Kingsley Ave, Orange Park, FL 32073 Phone: 904-269-8922 Fax: 904-541-3294 | |
Mrs. Courtney Hudson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Wells Rd Ste 4, Orange Park, FL 32073 Phone: 904-278-7890 | |
Elizabeth Blake Curtis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1409 Kingsley Ave, Suite 6b, Orange Park, FL 32073 Phone: 904-215-2422 Fax: 904-215-6122 |