Amanda Diez Stewart, OT | |
32 Garland Dr, Jackson, TN 38305-3602 | |
(731) 664-3645 | |
(731) 668-6549 |
Full Name | Amanda Diez Stewart |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 32 Garland Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073545661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 3062 (Tennessee) | Primary |
Provider Name | Rehab America, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467561258 PECOS PAC ID: 3476563222 Enrollment ID: O20230106000709 |
Mailing Address | Practice Location Address |
---|---|
Amanda Diez Stewart, OT 1804 Highway 45 Byp, Ste 604, Jackson, TN 38305-4436 Ph: (731) 660-8755 | Amanda Diez Stewart, OT 32 Garland Dr, Jackson, TN 38305-3602 Ph: (731) 664-3645 |
Mrs. Brynn Shellene Smith, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 45 Forest Cv, Jackson, TN 38301 Phone: 731-424-4200 | |
Ms. Johnetta Newson, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Allison Ganier Havercamp, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Garland Dr, Jackson, TN 38305 Phone: 731-668-3322 | |
Mrs. Mary Elizabeth Craigie, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Glenwood Dr, Jackson, TN 38305 Phone: 731-664-9095 | |
Penny Ann Gibson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Garland Dr, Jackson, TN 38305 Phone: 731-668-9070 | |
Hayley Alexandria Lumpkin, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 34 Garland Dr, Jackson, TN 38305 Phone: 731-668-9070 Fax: 731-660-8739 |