Jacqueline Gibbons, | |
3799 Cape Landing Cir Apt C, Myrtle Beach, SC 29588-1123 | |
(845) 313-2012 | |
Not Available |
Full Name | Jacqueline Gibbons |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3799 Cape Landing Cir Apt C, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144663089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | The Weston Group Of South Carolina Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073957064 PECOS PAC ID: 2062651185 Enrollment ID: O20130621000455 |
Mailing Address | Practice Location Address |
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Jacqueline Gibbons, 3799 Cape Landing Cir Apt C, Myrtle Beach, SC 29588-1123 Ph: () - | Jacqueline Gibbons, 3799 Cape Landing Cir Apt C, Myrtle Beach, SC 29588-1123 Ph: (845) 313-2012 |
Kel Z Gaskin Prock, MSR, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3603 Kingsley Dr, Myrtle Beach, SC 29588 Phone: 843-424-5450 | |
Shannon Southerland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-252-0033 | |
Carrie Deluca, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577 Phone: 843-848-5001 | |
Dorothy Gregory, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3620 Happy Woods Ct, Myrtle Beach, SC 29588 Phone: 843-293-2246 | |
Gabrielle Misiaszek, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579 Phone: 843-455-7505 | |
Alayna K Cline, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Mountain Ash Ln Unit C, Myrtle Beach, SC 29579 Phone: 843-575-8768 |