Taylor Lee Kroll, | |
1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 | |
(208) 966-4476 | |
(208) 966-4475 |
Full Name | Taylor Lee Kroll |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 1812 N Lakewood Dr Ste 100, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154167443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Orthopedic Surgery And Sports |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083729438 PECOS PAC ID: 3375519168 Enrollment ID: O20040902001125 |
Mailing Address | Practice Location Address |
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Taylor Lee Kroll, 1107 N 12th St, Coeur D Alene, ID 83814-4457 Ph: () - | Taylor Lee Kroll, 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 Ph: (208) 966-4476 |
Lanmana Parys-wolodkewitsch, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Mr. Christy Sater Adams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 | |
Sarah B Vore, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D1, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Autumn B Deda, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122 | |
Megan Marney, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Clarence Andrew Sims, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1917 N Lakewood Dr, Coeur D Alene, ID 83814 Phone: 208-664-8194 Fax: 208-667-1847 |