| Able Rehab Of Pra, Llc | |
|
2000 Mirror Lake Blvd Ste T, Villa Rica, GA 30180-2126 | |
| (770) 783-9797 | |
| Not Available |
| Full Name | Able Rehab Of Pra, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 2000 Mirror Lake Blvd Ste T, Villa Rica, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528499043 | NPI | - | NPPES |
| 67BBBGV | Other | GA | MEDICARE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT001102 (Georgia) | Primary |
| Provider Name | Colleen Goodwin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396709051 PECOS PAC ID: 9335337500 Enrollment ID: I20110103001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Able Rehab Of Pra, Llc 2000 Mirror Lake Blvd Ste T, Villa Rica, GA 30180-2126 Ph: (770) 783-9797 | Able Rehab Of Pra, Llc 2000 Mirror Lake Blvd Ste T, Villa Rica, GA 30180-2126 Ph: (770) 783-9797 |
Linda Palmer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 Church Ln, Villa Rica, GA 30180 Phone: 770-459-6533 Fax: 678-666-5565 | |
Angelica Maria Narine, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 234 Yorkshire Ln, Villa Rica, GA 30180 Phone: 908-209-8861 | |
Ashley Michelle Gable, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 Church Ln, Villa Rica, GA 30180 Phone: 770-459-6533 Fax: 770-462-1260 | |
Kensey Alene Smith, OTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Commons Way Ste 402, Villa Rica, GA 30180 Phone: 770-459-6533 Fax: 770-462-1260 | |
Ariel Deneen Martin, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2017 Dartmoth Way, Villa Rica, GA 30180 Phone: 631-339-8007 | |
Mrs. Angela Renee Hydrick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4060 Golfview Dr, Villa Rica, GA 30180 Phone: 770-328-0752 Fax: 770-830-9764 | |
Mrs. Christa Schillinger, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 Church Ln, Villa Rica, GA 30180 Phone: 770-943-7979 Fax: 678-666-5565 |