Johannah Illeen Gabbard, | |
4603 Timberwalk Ct, La Grange, KY 40031-6746 | |
(703) 575-8129 | |
Not Available |
Full Name | Johannah Illeen Gabbard |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4603 Timberwalk Ct, La Grange, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851921464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP.13490 (Ohio) | Primary |
Provider Name | Fox Rehabilitation Services Oh, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265968481 PECOS PAC ID: 1254698350 Enrollment ID: O20171128001417 |
Mailing Address | Practice Location Address |
---|---|
Johannah Illeen Gabbard, 5226 Hunter Ave, Cincinnati, OH 45212-1425 Ph: () - | Johannah Illeen Gabbard, 4603 Timberwalk Ct, La Grange, KY 40031-6746 Ph: (703) 575-8129 |
Marla Lantz, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-575-8129 | |
Lyndsey Marie Macadam, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 502-235-2428 | |
Kristie R. Cheek, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 | |
Mrs. Wanda Wilson Bowser, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233 | |
Mrs. Alexandria Jade Hayden, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233 | |
Cynthia Ann Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233 | |
Sarah Elizebeth Strother, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 502-235-2428 |