Susan Detweiler, MOTR/L | |
180 S. Main St, C-2, Broulim's Retail Center, Driggs, ID 83422-0129 | |
(208) 354-3128 | |
Not Available |
Full Name | Susan Detweiler |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 180 S. Main St, Driggs, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457070765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2623 (Idaho) | Primary |
Provider Name | High Peaks Physical Therapy P A |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356412837 PECOS PAC ID: 6608821194 Enrollment ID: O20050317000468 |
Mailing Address | Practice Location Address |
---|---|
Susan Detweiler, MOTR/L Po Box 129, Driggs, ID 83422-0129 Ph: (208) 354-3128 | Susan Detweiler, MOTR/L 180 S. Main St, C-2, Broulim's Retail Center, Driggs, ID 83422-0129 Ph: (208) 354-3128 |
Dr. Taryn Lee Weil, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 N Main St, Driggs, ID 83422 Phone: 208-787-6900 | |
Heather Dawn Evans, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 Fax: 208-354-2911 | |
Jacob Andrew Belloli, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 E Howard St, Driggs, ID 83422 Phone: 208-354-2383 | |
Amanda Cheyenne Enrico, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 | |
Miss Martha Ann Farnsworth, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 | |
Occupational Therapy Unlimited, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 |