Susana Chacon, OTR/L | |
516 Grant Ave, North Augusta, SC 29841-3632 | |
(706) 825-2996 | |
(855) 232-8604 |
Full Name | Susana Chacon |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 516 Grant Ave, North Augusta, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003039660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT001387 (Georgia) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140 |
Mailing Address | Practice Location Address |
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Susana Chacon, OTR/L 516 Grant Ave, North Augusta, SC 29841-3632 Ph: (706) 825-2996 | Susana Chacon, OTR/L 516 Grant Ave, North Augusta, SC 29841-3632 Ph: (706) 825-2996 |
Lindsey Oertel, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Barbara Banning, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Mrs. Jennifer Leigh Huff, MHS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Erika Lynne Key, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 241 Swallow Lake Dr, North Augusta, SC 29841 Phone: 803-441-0149 | |
Augusta Therapy Services For Children Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 Stanton Dr, North Augusta, SC 29841 Phone: 706-294-3773 Fax: 803-202-0334 | |
Kelsey Schettino, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Stephens Rd, North Augusta, SC 29860 Phone: 803-645-8223 |