Ms Amanda L George, OT | |
1301 Russell Road, Russellville, AR 72802 | |
(479) 967-2322 | |
(479) 968-2876 |
Full Name | Ms Amanda L George |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1301 Russell Road, Russellville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841318821 | NPI | - | NPPES |
130041721 | Medicaid | AR | |
5W516 | Other | AR | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR770 (Arkansas) | Primary |
Provider Name | Friendship Community Care Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528144318 PECOS PAC ID: 9335463496 Enrollment ID: O20150120000780 |
Mailing Address | Practice Location Address |
---|---|
Ms Amanda L George, OT Po Drawer 2109, Russellville, AR 72811-2109 Ph: (479) 967-2322 | Ms Amanda L George, OT 1301 Russell Road, Russellville, AR 72802 Ph: (479) 967-2322 |
Kamala J Mcdonald, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 W Main St, Russellville, AR 72801 Phone: 479-968-2525 Fax: 479-968-2538 | |
Melissa Hawkins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322 Fax: 479-967-2876 | |
Chastity Massengale, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322 | |
Mrs. Alicia M Bost, M.S.O.T.R.L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2315 Honeysuckle Ln, Russellville, AR 72801 Phone: 479-858-6144 Fax: 479-858-6144 | |
Mrs. Sandra Lynn Baker, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639 | |
Randi Ellen Rogers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322 | |
Mrs. Brandi Akin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St Ste 16, Russellville, AR 72801 Phone: 479-858-2216 |