Tamara Polidore-leconte, OTR | |
300 E. Hospital Road, Fort Gordon, GA 30905 | |
(706) 787-1045 | |
Not Available |
Full Name | Tamara Polidore-leconte |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 300 E. Hospital Road, Fort Gordon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538589395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT 16224 (Florida) | Primary |
Provider Name | Dhhs Ihs Phoenix Area |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
Mailing Address | Practice Location Address |
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Tamara Polidore-leconte, OTR 8686a E County Road 466, The Villages, FL 32162-3670 Ph: (352) 674-0035 | Tamara Polidore-leconte, OTR 300 E. Hospital Road, Fort Gordon, GA 30905 Ph: (706) 787-1045 |
Ms. Rebecca Blair Bonin, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-1056 | |
Christine A Culver, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 707-787-7448 | |
Barbara A Schiefer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905 Phone: 706-787-7448 Fax: 706-787-4934 | |
Mrs. Toya Tawyna Thorpe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 E. Hospital Road, Fort Gordon, GA 30905 Phone: 706-305-7084 | |
Bailly A Thompson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 East Hospital Dr, Fort Gordon, GA 30905 Phone: 706-787-1048 | |
Ms. Kathryn Vann Magill, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Hospial Ave, Fort Gordon, GA 30905 Phone: 706-787-7448 |