| Kaitlyn Wilson, | |
|
2025 White Oaks Blvd, Bridgeport, WV 26330-5402 | |
| (304) 612-9592 | |
| Not Available |
| Full Name | Kaitlyn Wilson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2025 White Oaks Blvd, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972285294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-0986 (West Virginia) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336858398 PECOS PAC ID: 2365359932 Enrollment ID: O20230426003181 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Wilson, 25 Lofty Ln, Montana Mines, WV 26586-2700 Ph: (304) 612-9592 | Kaitlyn Wilson, 2025 White Oaks Blvd, Bridgeport, WV 26330-5402 Ph: (304) 612-9592 |
Rachel Riffee, SLP/CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 41 Crestview Ter, Bridgeport, WV 26330 Phone: 304-842-7101 | |
Chelsea Heaster, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Maplewood Dr, Bridgeport, WV 26330 Phone: 304-933-3338 | |
Kylie Frame, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 141 State St, Bridgeport, WV 26330 Phone: 304-933-3073 | |
Teresa Ann Barnett, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 387 Heliport Loop Rd., Bridgeport, WV 26330 Phone: 304-842-0044 Fax: 304-842-0033 | |
Lakeside Therapy Group Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 765 Brightridge Drive, Bridgeport, WV 26330 Phone: 304-844-0099 Fax: 304-848-0265 | |
Rebecca Leeanne Brammer, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12 Coolview Ln, Bridgeport, WV 26330 Phone: 304-669-0201 | |
Angela L Jesser, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 141 State St, Bridgeport, WV 26330 Phone: 304-933-3073 |