Christine Fugate, OT | |
3131 N Highland Ave, Jackson, TN 38305-3418 | |
(731) 410-1505 | |
Not Available |
Full Name | Christine Fugate |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3131 N Highland Ave, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932616760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5046 (Tennessee) | Primary |
Provider Name | Tn Therapy Outsource, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891285185 PECOS PAC ID: 2668725664 Enrollment ID: O20181022000384 |
Mailing Address | Practice Location Address |
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Christine Fugate, OT 711 Avignon Dr, Ridgeland, MS 39157-5120 Ph: (601) 605-6777 | Christine Fugate, OT 3131 N Highland Ave, Jackson, TN 38305-3418 Ph: (731) 410-1505 |
Mrs. Brynn Shellene Smith, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 45 Forest Cv, Jackson, TN 38301 Phone: 731-424-4200 | |
Ms. Johnetta Newson, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Allison Ganier Havercamp, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Garland Dr, Jackson, TN 38305 Phone: 731-668-3322 | |
Mrs. Mary Elizabeth Craigie, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Glenwood Dr, Jackson, TN 38305 Phone: 731-664-9095 | |
Penny Ann Gibson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Garland Dr, Jackson, TN 38305 Phone: 731-668-9070 | |
Hayley Alexandria Lumpkin, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 34 Garland Dr, Jackson, TN 38305 Phone: 731-668-9070 Fax: 731-660-8739 | |
Amanda Diez Stewart, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 32 Garland Dr, Jackson, TN 38305 Phone: 731-664-3645 Fax: 731-668-6549 |