Phyllis Nessell Denton, OTR/L | |
1851 Shoreline Trce, Grayson, GA 30017-1166 | |
(770) 696-1358 | |
Not Available |
Full Name | Phyllis Nessell Denton |
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Gender | Female |
Speciality | Occupational Therapist - Hand |
Location | 1851 Shoreline Trce, Grayson, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164765939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | OT0004263 (Georgia) | Primary |
225XH1200X | Occupational Therapist - Hand | OT2411 (Florida) | Secondary |
Provider Name | Resurgens, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595 |
Mailing Address | Practice Location Address |
---|---|
Phyllis Nessell Denton, OTR/L 1851 Shoreline Trce, Grayson, GA 30017-1166 Ph: (770) 696-1358 | Phyllis Nessell Denton, OTR/L 1851 Shoreline Trce, Grayson, GA 30017-1166 Ph: (770) 696-1358 |
Stacy Hwang, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2065 Grayson Hwy Ste B, Grayson, GA 30017 Phone: 678-376-0213 | |
Ms. Erin Nicole Boyce, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 684 Grayson Pkwy, Grayson, GA 30017 Phone: 678-480-5654 | |
Tina Lyttle, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1151 Gulfport Run, Grayson, GA 30017 Phone: 770-296-5177 |