Mrs Olivia Robertson Martin, OTR/L | |
1199 Hayes Forest Dr, Winston Salem, NC 27106-3377 | |
(336) 759-1044 | |
Not Available |
Full Name | Mrs Olivia Robertson Martin |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1199 Hayes Forest Dr, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699239392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 12289 (North Carolina) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
Mailing Address | Practice Location Address |
---|---|
Mrs Olivia Robertson Martin, OTR/L 825 Gales Ave, Winston Salem, NC 27103-3703 Ph: (704) 526-5117 | Mrs Olivia Robertson Martin, OTR/L 1199 Hayes Forest Dr, Winston Salem, NC 27106-3377 Ph: (336) 759-1044 |
Jonelle Claricia Bedford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110 Phone: 336-750-3174 | |
Catherine Coats, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110 Phone: 336-750-3174 | |
Martha Bowers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3812 Forrestgate Dr, Winston Salem, NC 27103 Phone: 336-774-3752 Fax: 336-774-3773 | |
Mrs. Mary C Winford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2585 Mid Salem Dr, Winston Salem, NC 27103 Phone: 601-754-4303 | |
Brittany Dixon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110 Phone: 336-750-2000 | |
Mrs. Kelli B Cross, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5755 Shattalon Dr, Winston Salem, NC 27105 Phone: 336-744-2779 | |
Brianna Ciara Fleming, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110 Phone: 910-551-2446 |