Susan S Gould, OT/CHT | |
201 Turner Mccall Blvd Nw, Rome, GA 30165-2545 | |
(706) 236-2758 | |
(706) 802-1408 |
Full Name | Susan S Gould |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 201 Turner Mccall Blvd Nw, Rome, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679579973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT001129 (Georgia) | Primary |
225XH1200X | Occupational Therapist - Hand | 10011020003 (Georgia) | Secondary |
Provider Name | Advance Rehabilitation & Consulting Limited Partnership |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235434283 PECOS PAC ID: 4082890645 Enrollment ID: O20110609000322 |
Mailing Address | Practice Location Address |
---|---|
Susan S Gould, OT/CHT Po Box 949, Rome, GA 30162-0949 Ph: (706) 236-2758 | Susan S Gould, OT/CHT 201 Turner Mccall Blvd Nw, Rome, GA 30165-2545 Ph: (706) 236-2758 |
Elvira Aguilar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 | |
Jacqueline C Hostetler, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Nicklaus Dr Nw, Rome, GA 30165 Phone: 706-346-4666 Fax: 706-232-9303 | |
Alexander Gray Goodson, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1170 Chulio Rd Se, Rome, GA 30161 Phone: 706-235-1132 | |
Stepanie Bays, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242 Fax: 706-295-4260 | |
Hayden Ellis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 | |
Maggie Brewer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000 | |
Matt Herrin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242 |