| Seaside Occupational Therapy, Llc | |
|
12 W Queens Way, Hampton, VA 23669-4012 | |
| (757) 655-1130 | |
| Not Available |
| Full Name | Seaside Occupational Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 12 W Queens Way, Hampton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457995540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Amanda Harrison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225445794 PECOS PAC ID: 3375978372 Enrollment ID: I20200122001001 |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Occupational Therapy, Llc 12 W Queens Way, Hampton, VA 23669-4012 Ph: (757) 655-1130 | Seaside Occupational Therapy, Llc 12 W Queens Way, Hampton, VA 23669-4012 Ph: (757) 655-1130 |
Michael Anthony Burgos, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666 Phone: 757-827-2480 Fax: 757-827-2566 | |
Maryam Holt, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1062 W Mercury Blvd # B, Hampton, VA 23666 Phone: 757-644-0644 | |
Miss Anna Horner, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2713 Magruder Blvd Ste L, Hampton, VA 23666 Phone: 757-490-3223 Fax: 757-490-2936 | |
Erika Chenault, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2230 Executive Dr, Hampton, VA 23666 Phone: 757-992-8100 | |
Mrs. Beverly Robinson Davis, MA,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-3392 | |
Mrs. Carolynne Sabine Lefebvre, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Franklin St, Special Education, Hampton, VA 23669 Phone: 757-727-2401 | |
Mrs. Kirsten Elizabeth Anderson-lausier, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Marcella Rd, Hampton, VA 23666 Phone: 757-825-0455 |