| Moon River, Llc | |
|
790 Oak Trail Dr, Marietta, GA 30062-7502 | |
| (770) 977-6866 | |
| (770) 977-6887 |
| Full Name | Moon River, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 790 Oak Trail Dr, Marietta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730143553 | NPI | - | NPPES |
| 191707573A | Medicaid | GA | |
| 240960806A | Medicaid | GA | |
| 516643175A | Medicaid | GA | |
| 761415888A | Medicaid | GA | |
| 814363142A | Medicaid | GA | |
| 000860736B | Medicaid | GA | |
| 146855825A | Medicaid | GA | |
| 765677599A | Medicaid | GA | |
| 188883028B | Medicaid | GA | |
| 317872221A | Medicaid | GA | |
| 339518223A | Medicaid | GA | |
| 426315361A | Medicaid | GA | |
| 986209149B | Medicaid | GA | |
| 000970835A | Medicaid | GA | |
| 481436178B | Medicaid | GA | |
| 503885675B | Medicaid | GA | |
| 850524466A | Medicaid | GA | |
| 315889908A | Medicaid | GA | |
| 000753563E | Medicaid | GA | |
| 461168837A | Medicaid | GA |
| Mailing Address | Practice Location Address |
|---|---|
| Moon River, Llc 790 Oak Trail Dr, Marietta, GA 30062-7502 Ph: (770) 212-2170 | Moon River, Llc 790 Oak Trail Dr, Marietta, GA 30062-7502 Ph: (770) 977-6866 |
Mrs. Caroline Elizabeth Homer, OT R/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4962 Falcon Wood Ct, Marietta, GA 30066 Phone: 404-617-0428 | |
Mr. Oluwadamilare Aina, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Augusta Dr Se, Marietta, GA 30067 Phone: 404-345-4144 | |
Neurotrain Rehab Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5233 Shasta Way, Marietta, GA 30062 Phone: 305-283-5986 | |
Mrs. Carol Michot, O. T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1112 Lakefield Walk, Marietta, GA 30064 Phone: 770-218-7374 | |
Mrs. Denise Walz Vermilya, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2465 Canopy Gln, Marietta, GA 30066 Phone: 770-517-2480 Fax: 770-592-9431 | |
Tiffany Moore, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1557 Terrell Mill Rd Se Apt 4700g, Marietta, GA 30067 Phone: 678-651-6050 | |
Jamey Abbott, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Tower Rd Ne Ste 100, Marietta, GA 30060 Phone: 770-499-9918 |