Okot Lymphedema Therapy, Llc | |
4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071-5736 | |
(470) 317-7488 | |
(317) 436-1199 |
Full Name | Okot Lymphedema Therapy, Llc |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497467591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Oksana Kuliyev |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528538238 PECOS PAC ID: 9739503871 Enrollment ID: I20221229002840 |
Mailing Address | Practice Location Address |
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Okot Lymphedema Therapy, Llc 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071-5736 Ph: (470) 317-7488 | Okot Lymphedema Therapy, Llc 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071-5736 Ph: (470) 317-7488 |
Oksana Kuliyev, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071 Phone: 470-317-7488 Fax: 317-436-1199 | |
Okot Lymphedema Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071 Phone: 470-317-7488 Fax: 317-436-1199 |