Stevie Jo Nicole Sundberg, MOT, OTR/L is a
Occupational Therapist based in Courtland, Virginia. Stevie Jo Nicole Sundberg is licensed to practice in Virginia (license number 0119006589) and her current practice location is
24030 Indian Town Rd, Courtland, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 812-3288.
NPI number for Stevie Jo Nicole Sundberg is 1629564109 and her current mailing address is 421 Kendall Hvn, Smithfield, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629564109.
Healthcare Provider's Profile
Full Name | Stevie Jo Nicole Sundberg |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 24030 Indian Town Rd, Courtland, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629564109
- Provider Enumeration Date: 07/08/2018
- Last Update Date: 07/08/2018
Medical Identifiers
Medical identifiers for Stevie Jo Nicole Sundberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629564109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 0119006589 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stevie Jo Nicole Sundberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stevie Jo Nicole Sundberg, MOT, OTR/L 421 Kendall Hvn, Smithfield, VA 23430-5838 Ph: (916) 801-4465 | Stevie Jo Nicole Sundberg, MOT, OTR/L 24030 Indian Town Rd, Courtland, VA 23837-2371 Ph: (757) 812-3288 |
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