Victoria Lyn Russell, | |
6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | |
(770) 704-8244 | |
(770) 704-8264 |
Full Name | Victoria Lyn Russell |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 23 Years |
Location | 6884 Hickory Flat Hwy, Woodstock, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508088584 | NPI | - | NPPES |
511G701183 | Other | GA | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 003654 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Soar Physical Therapy, Inc | 0941365100 | 12 |
Provider Name | Soar Physical Therapy, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083861785 PECOS PAC ID: 0941365100 Enrollment ID: O20090223000316 |
Mailing Address | Practice Location Address |
---|---|
Victoria Lyn Russell, 285 Old Dawsonville Rd, Ball Ground, GA 30107-2931 Ph: (678) 454-1044 | Victoria Lyn Russell, 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 Ph: (770) 704-8244 |
Danielle Alyssa Pecora, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Parkway 575, Suite 100, Woodstock, GA 30188 Phone: 770-591-5852 Fax: 770-591-5957 | |
Sensible Sensory Spaces, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6478 Putnam Ford Dr, Woodstock, GA 30189 Phone: 678-895-5223 | |
Stephanie Young, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9876 Main St, Suite 100, Woodstock, GA 30188 Phone: 678-494-6906 Fax: 678-494-6908 | |
Ashley Ellison, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1505 Stone Bridge Pkwy Ste 200, Woodstock, GA 30189 Phone: 770-926-9112 | |
Simply Play Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6478 Putnam Ford Dr Ste 124, Woodstock, GA 30189 Phone: 404-234-1370 | |
Mrs. Laura Ann Richards, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 606 Devon Brooke Dr, Woodstock, GA 30188 Phone: 678-524-3073 | |
Ms. Cassandra Elaine Wright, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2137 Summerchase Dr, Woodstock, GA 30189 Phone: 770-861-5581 Fax: 770-505-0709 |