Olivia Williamson, OT | |
4450 Sunset Dr, San Angelo, TX 76901-5611 | |
(325) 658-1511 | |
Not Available |
Full Name | Olivia Williamson |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 4450 Sunset Dr, San Angelo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508238866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 117111 (Texas) | Primary |
Provider Name | Shannon Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
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Olivia Williamson, OT Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Olivia Williamson, OT 4450 Sunset Dr, San Angelo, TX 76901-5611 Ph: (325) 658-1511 |
Miss Sanaya Girish Kondaskar, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 S Jackson St, San Angelo, TX 76904 Phone: 325-223-6316 | |
Brady Burks, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3001 S Jackson St, San Angelo, TX 76904 Phone: 325-223-6300 | |
Tiffany Jackson Carpenter, O.T.R. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3126 Appaloosa Cir, San Angelo, TX 76901 Phone: 325-944-4399 Fax: 325-944-4556 | |
Jordan Shoults, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 S Jackson St, San Angelo, TX 76904 Phone: 325-223-6300 | |
Ms. Amanda Beth East, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 S Jackson St, San Angelo, TX 76904 Phone: 325-223-6462 Fax: 325-223-6408 | |
Richeona Reeves, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1915 Greenwood St, San Angelo, TX 76901 Phone: 325-942-0677 | |
Brenna Morgan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 S Jackson St, San Angelo, TX 76904 Phone: 325-223-6300 Fax: 325-793-3587 |