Mrs Lillian Nicole Brewer, OTR/L | |
4130 Fox Brush Dr, Evans, GA 30809-4856 | |
(706) 825-9966 | |
Not Available |
Full Name | Mrs Lillian Nicole Brewer |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4130 Fox Brush Dr, Evans, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124267646 | NPI | - | NPPES |
225X00000X | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2631 (South Carolina) | Primary |
Provider Name | Your Aging Therapist Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1780263129 PECOS PAC ID: 6709285992 Enrollment ID: O20210701003590 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lillian Nicole Brewer, OTR/L 4130 Fox Brush Dr, Evans, GA 30809-4856 Ph: (706) 825-9966 | Mrs Lillian Nicole Brewer, OTR/L 4130 Fox Brush Dr, Evans, GA 30809-4856 Ph: (706) 825-9966 |
Melissa W Fitzgerald, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 446 Northridge Cir, Evans, GA 30809 Phone: 706-210-0282 Fax: 706-210-0282 | |
Annlen Marie Zorn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Grand Slam Dr Ste D, Evans, GA 30809 Phone: 706-842-3330 | |
Melinda L Coleman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Walden Glen Ln, Evans, GA 30809 Phone: 706-495-2528 Fax: 706-364-0351 | |
Sherry Brown, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Grand Slam Dr, Suite D, Evans, GA 30809 Phone: 706-854-8434 Fax: 706-854-8435 | |
Mrs. Nancy Lynn Clements-morgan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5086 Wells Dr, Evans, GA 30809 Phone: 706-650-1344 | |
Bailey Olivia Parker, OT, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4446 Washington Rd Ste 8, Evans, GA 30809 Phone: 706-869-3352 Fax: 706-869-3299 |