Ivona Boqumila Doberstein, OTR/L | |
68 Breezy Valley Connector, Hiram, GA 30141-3054 | |
(724) 816-1800 | |
(865) 951-7273 |
Full Name | Ivona Boqumila Doberstein |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 68 Breezy Valley Connector, Hiram, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477825834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT007471 (Georgia) | Primary |
Provider Name | Servant Rehabilitation Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851911713 PECOS PAC ID: 5395168629 Enrollment ID: O20200706001079 |
Mailing Address | Practice Location Address |
---|---|
Ivona Boqumila Doberstein, OTR/L 3243 Heritage Cir, Hendersonville, NC 28791-3553 Ph: (828) 393-5168 | Ivona Boqumila Doberstein, OTR/L 68 Breezy Valley Connector, Hiram, GA 30141-3054 Ph: (724) 816-1800 |
Rebecca Seneth Faugno, OT/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 68 Breezy Valley Connector, Hiram, GA 30141 Phone: 724-816-1800 Fax: 865-951-7273 | |
Kristin Boatner, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 262 Lakeview Ln, Hiram, GA 30141 Phone: 770-361-4124 Fax: 770-445-3073 | |
Mr. James Robert Donley, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5646 Riding Woods Dr Sw, Hiram, GA 30141 Phone: 770-943-4847 Fax: 770-943-4847 |