Mr Mark O Okafor, OTR/L | |
935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | |
(276) 622-3636 | |
(888) 724-0268 |
Full Name | Mr Mark O Okafor |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 935 Fairystone Park Hwy, Stanleytown, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003898586 | NPI | - | NPPES |
743117794 | Other | VA | MEDRISK |
743117794 | Other | VA | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119003394 (Virginia) | Primary |
Provider Name | O&w Enterprises |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487895348 PECOS PAC ID: 6608927298 Enrollment ID: O20090622000183 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark O Okafor, OTR/L 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 Ph: (276) 622-3636 | Mr Mark O Okafor, OTR/L 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 Ph: (276) 622-3636 |
Heather Naff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 | |
Kaitlyn Wood, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
Journie Barbour, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
Erin Lanigan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 |