Tracey Thomas, LOTR | |
5550 Thomas Rd, Baton Rouge, LA 70811-7370 | |
(225) 774-2141 | |
Not Available |
Full Name | Tracey Thomas |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 5550 Thomas Rd, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760134662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 322421 (Louisiana) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154852382 PECOS PAC ID: 6507832573 Enrollment ID: O20231004003036 |
Mailing Address | Practice Location Address |
---|---|
Tracey Thomas, LOTR 13508 Hico Dr, Baker, LA 70714-4664 Ph: (225) 892-0144 | Tracey Thomas, LOTR 5550 Thomas Rd, Baton Rouge, LA 70811-7370 Ph: (225) 774-2141 |
Mr. Don E Gulczynski, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8768 Quarters Lake Rd, Baton Rouge, LA 70809 Phone: 225-752-3330 Fax: 225-752-0888 | |
Shelby Wells Brown, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 | |
Mrs. Kourtney Leigh Dunbar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 | |
Thileasea Gauthier, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7414 Sumrall Dr, Baton Rouge, LA 70812 Phone: 225-767-2034 | |
Kirk Wharton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3311 Shadow Hill Dr, Baton Rouge, LA 70816 Phone: 504-250-4172 | |
Meghan C Poche, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18268 Petroleum Dr, Baton Rouge, LA 70809 Phone: 225-292-4138 Fax: 225-292-4142 | |
Staci Chambley, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 |