Ms Joanna M Bauer, OTR | |
424 Edgebrook Dr, Boylston, MA 01505-1737 | |
(508) 869-2149 | |
Not Available |
Full Name | Ms Joanna M Bauer |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 424 Edgebrook Dr, Boylston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255479820 | NPI | - | NPPES |
OG0031 | Other | MA | BCBSMA GROUP NUMBER |
0396621 | Other | MA | MASSHEALTH |
OT0104 | Other | MA | BCBSMA PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 6906 (Massachusetts) | Primary |
Provider Name | Visions Of Independence Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1992751457 PECOS PAC ID: 3072585025 Enrollment ID: O20040810000739 |
Mailing Address | Practice Location Address |
---|---|
Ms Joanna M Bauer, OTR 424 Edgebrook Dr, Boylston, MA 01505-1737 Ph: (508) 869-2149 | Ms Joanna M Bauer, OTR 424 Edgebrook Dr, Boylston, MA 01505-1737 Ph: (508) 869-2149 |
Ms. Jennifer Lee Konisky, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 247 Edgebrook Dr, Boylston, MA 01505 Phone: 508-869-6920 | |
Stephanie A Hurley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Carol Dr, Boylston, MA 01505 Phone: 978-602-2488 | |
The Power Of Play-pediatric Occupational Therapy Services Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Carol Dr, Boylston, MA 01505 Phone: 978-602-2488 |