Mrs Susan Diane Denette, | |
905 N Redmond Rd, Jacksonville, AR 72076-3622 | |
(501) 982-0528 | |
(501) 533-6380 |
Full Name | Mrs Susan Diane Denette |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 905 N Redmond Rd, Jacksonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467665521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR1313 (Arkansas) | Primary |
Provider Name | Pathfinder, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326004466 PECOS PAC ID: 8628061801 Enrollment ID: O20090306000376 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Diane Denette, 106 Katye Ln, Sherwood, AR 72120-2733 Ph: (501) 834-8682 | Mrs Susan Diane Denette, 905 N Redmond Rd, Jacksonville, AR 72076-3622 Ph: (501) 982-0528 |
Crystal Penn, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 W Main St, Jacksonville, AR 72076 Phone: 501-982-1253 Fax: 501-982-1253 | |
Aziah Batson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 W Main St, Jacksonville, AR 72076 Phone: 501-982-0528 | |
Joelle Schahfer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2520 W Main St, Jacksonville, AR 72076 Phone: 870-307-4269 | |
Mrs. Quinn E Caldwell, OTR,L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 T P White Dr, Jacksonville, AR 72076 Phone: 501-241-0410 Fax: 501-241-0125 | |
Bailey Smith, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 N 1st St Ste 4, Jacksonville, AR 72076 Phone: 501-241-0410 | |
Mrs. Courtney Beth Cowling, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 W Main St, Jacksonville, AR 72076 Phone: 501-982-4578 Fax: 501-982-1253 | |
Mrs. Susan Ellis Taylor, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 W Main St, Jacksonville, AR 72076 Phone: 501-982-4578 Fax: 501-982-1253 |