Stephanie Marie Foust, | |
4343 Kennedy Dr, East Moline, IL 61244-4203 | |
(309) 796-6600 | |
Not Available |
Full Name | Stephanie Marie Foust |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4343 Kennedy Dr, East Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831428796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056008758 (Illinois) | Primary |
Provider Name | Golden Goals Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1881373702 PECOS PAC ID: 4284098773 Enrollment ID: O20230918000854 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Marie Foust, 810 W Pine St, Eldridge, IA 52748-1533 Ph: (563) 349-9609 | Stephanie Marie Foust, 4343 Kennedy Dr, East Moline, IL 61244-4203 Ph: (309) 796-6600 |
Kristen K Walsh, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 42nd Ave, Suite 145, East Moline, IL 61244 Phone: 309-779-3190 | |
Michael Neighbor, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4747 11th St, East Moline, IL 61244 Phone: 309-796-0922 Fax: 309-792-2751 | |
Mrs. Heather Jill Hanell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4343 Kennedy Dr, East Moline, IL 61244 Phone: 309-796-6600 | |
Mrs. Danielle Mae Allardyce, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4747 11th St, East Moline, IL 61244 Phone: 309-796-0922 Fax: 309-792-2751 | |
Megan S Roy, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 Avenue Of The Cities, East Moline, IL 61244 Phone: 309-779-3490 Fax: 309-779-5615 | |
Kara Lynn Depaoli, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 42nd Ave, East Moline, IL 61244 Phone: 309-779-3490 Fax: 309-779-5615 |