| Moss Occupational Therapy Service Llc | |
|
2508 Brookgate Way, Ellenwood, GA 30294-2390 | |
| (404) 957-5015 | |
| Not Available |
| Full Name | Moss Occupational Therapy Service Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 2508 Brookgate Way, Ellenwood, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932626884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT005980 (Georgia) | Primary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT005980 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Moss Occupational Therapy Service Llc 4093 Villagewood Ln, Ellenwood, GA 30294-5721 Ph: (404) 957-5015 | Moss Occupational Therapy Service Llc 2508 Brookgate Way, Ellenwood, GA 30294-2390 Ph: (404) 957-5015 |
Denise Boone, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3056 Anvil Block Rd, Suite 118, Ellenwood, GA 30294 Phone: 404-366-8100 | |
Keisha Patterson Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Fremont Dr, Ellenwood, GA 30294 Phone: 205-603-6929 | |
Keisha Patterson, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Fremont Dr, Ellenwood, GA 30294 Phone: 205-603-6929 | |
Olivia Jenice Olverson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 | |
Tracy Lin, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2508 Brookgate Way, Ellenwood, GA 30294 Phone: 404-957-5015 | |
Joi Moses, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 | |
Angela Harris, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 Fax: 888-381-0822 |