Mr Trevor John Warner, OTR/L | |
2550 Addison Ave E, Suite D, Twin Falls, ID 83301-6749 | |
(208) 733-1759 | |
Not Available |
Full Name | Mr Trevor John Warner |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2550 Addison Ave E, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407142102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-1002 (Idaho) | Primary |
Provider Name | Primary Therapy Source, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912027343 PECOS PAC ID: 7012002702 Enrollment ID: O20070926000529 |
Mailing Address | Practice Location Address |
---|---|
Mr Trevor John Warner, OTR/L 2550 Addison Ave E, Suite D, Twin Falls, ID 83301-6749 Ph: (208) 733-1759 | Mr Trevor John Warner, OTR/L 2550 Addison Ave E, Suite D, Twin Falls, ID 83301-6749 Ph: (208) 733-1759 |
Joel Vinson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 | |
Jason Ross Urry, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Pole Line Rd W Ste 307, Twin Falls, ID 83301 Phone: 208-814-3726 | |
Lisa Smallwood, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1505 Madrona St N, Twin Falls, ID 83301 Phone: 719-659-1426 | |
Alysia Budd, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 | |
Erin Krause, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-2495 | |
Rhonda L Shively, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1600 | |
Aimee Abel, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1062 Par Ct, Twin Falls, ID 83301 Phone: 208-814-2495 |