Mrs Brenda Lee Mahon, OTD/OTR | |
350 Clyde Morris Blvd, Ormond Beach, FL 32174-5993 | |
(386) 868-0505 | |
Not Available |
Full Name | Mrs Brenda Lee Mahon |
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Gender | Female |
Speciality | Occupational Therapist - Gerontology |
Location | 350 Clyde Morris Blvd, Ormond Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871783951 | NPI | - | NPPES |
46TR00529000 | Other | NJ | PROFESSIONAL LICENSE |
Provider Name | Empowerme Rehabilitation Florida, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184257602 PECOS PAC ID: 3274962790 Enrollment ID: O20200406000039 |
Provider Name | Onr National Speech Pathology Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20210528001837 |
Mailing Address | Practice Location Address |
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Mrs Brenda Lee Mahon, OTD/OTR 563 Seville Pkwy, Saint Augustine, FL 32086-9037 Ph: (570) 228-5111 | Mrs Brenda Lee Mahon, OTD/OTR 350 Clyde Morris Blvd, Ormond Beach, FL 32174-5993 Ph: (386) 868-0505 |
Trista Goetz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Clyde Morris Blvd Ste A1, Ormond Beach, FL 32174 Phone: 386-898-0443 Fax: 386-898-0459 | |
Mrs. Suzanne M Vienneau, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 93 Pinecrest Ave, Ormond Beach, FL 32176 Phone: 386-871-5449 | |
Lori Ann Bosset, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Clyde Morris Blvd Ste A1, Ormond Beach, FL 32174 Phone: 386-898-0443 Fax: 386-898-0459 | |
Mrs. Julie Thompson, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 49 Pinto Ln, Ormond Beach, FL 32174 Phone: 386-503-1362 Fax: 386-947-4645 | |
Melba Cecilia Ramirez, OT/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 710 S Beach St, Ormond Beach, FL 32174 Phone: 386-214-8384 | |
Camila Perez-albert, OTR/L, DPT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Clyde Morris Blvd, Suite B2, Ormond Beach, FL 32174 Phone: 386-898-0443 | |
Mrs. Geertrui Peeters, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 N Center St, Ormond Beach, FL 32174 Phone: 386-672-0830 |