Ms Linnette A Richards, OTAL | |
364 S Highway 16, Stanley, NC 28164-8702 | |
(704) 746-9698 | |
Not Available |
Full Name | Ms Linnette A Richards |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 364 S Highway 16, Stanley, 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 |
---|---|---|---|
1659420040 | NPI | - | NPPES |
0853542084 | Other | FL | TRICARE |
11184701 | Other | FL | CITRUS HMO |
2081F | Other | FL | BCBS |
890197000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3797 (Florida) | Secondary |
225X00000X | Occupational Therapist | 9032 (North Carolina) | Primary |
Provider Name | Lake Norman Communication Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467908368 PECOS PAC ID: 4082029426 Enrollment ID: O20210218000122 |
Mailing Address | Practice Location Address |
---|---|
Ms Linnette A Richards, OTAL 484 Williamson Rd Ste 102, Mooresville, NC 28117-8191 Ph: (704) 746-9698 | Ms Linnette A Richards, OTAL 364 S Highway 16, Stanley, NC 28164-8702 Ph: (704) 746-9698 |
Cameron Takes, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 Hwy 16 S, Ste 100, Stanley, NC 28164 Phone: 704-746-9698 | |
Megan Berry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 S Hwy 16, Ste 200, Stanley, NC 28164 Phone: 704-746-9698 |