Stacey M Willmon, OT | |
614 Bill Bradford, Suite 101, Sulphur Springs, TX 75482-4538 | |
(903) 885-5919 | |
(903) 885-9131 |
Full Name | Stacey M Willmon |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 614 Bill Bradford, Sulphur Springs, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245561083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 107568 (Texas) | Primary |
Provider Name | Making Waves Pediatric Therapy Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326639535 PECOS PAC ID: 5395154710 Enrollment ID: O20210514000245 |
Mailing Address | Practice Location Address |
---|---|
Stacey M Willmon, OT 614 Bill Bradford, Suite 101, Sulphur Springs, TX 75482-4538 Ph: (903) 885-5919 | Stacey M Willmon, OT 614 Bill Bradford, Suite 101, Sulphur Springs, TX 75482-4538 Ph: (903) 885-5919 |
Jeannie Wells, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1501 Holiday Dr, Sulphur Springs, TX 75482 Phone: 903-335-8727 Fax: 903-335-8217 | |
Alyssa Wimberley, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Holiday Dr, Sulphur Springs, TX 75482 Phone: 903-335-8727 | |
Mckenzie Nicholle Francis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 595 County Road 4759, Sulphur Springs, TX 75482 Phone: 903-440-0108 | |
Taylor Wren Gordon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Pipeline Rd, Sulphur Springs, TX 75482 Phone: 903-885-3589 | |
Mr. Stephen Wayne Smith, OTD, M.ED., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Airport Rd, Sulphur Springs, TX 75482 Phone: 903-885-1483 Fax: 903-885-9051 | |
Mr. Joesph Louis Saucier, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 Bill Bradford, Sulphur Springs, TX 75482 Phone: 903-885-5919 |