Zoe Kavanagh, | |
5535 S Williamson Blvd, Suite#774, Port Orange, FL 32128-8311 | |
(800) 330-7711 | |
(386) 944-7202 |
Full Name | Zoe Kavanagh |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 5535 S Williamson Blvd, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457798472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 07113 (Maryland) | Primary |
Provider Name | Powerback Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032 |
Mailing Address | Practice Location Address |
---|---|
Zoe Kavanagh, 5535 S Williamson Blvd, Suite#774, Port Orange, FL 32128-8311 Ph: (800) 330-7711 | Zoe Kavanagh, 5535 S Williamson Blvd, Suite#774, Port Orange, FL 32128-8311 Ph: (800) 330-7711 |
Tonika Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Stacy Wojy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Elizabeth Horrall, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Joshua Ruiz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 800-330-7711 | |
Emily Noltemeyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Heidi Meramo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680 | |
Gina Sentelik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-756-4395 |