| Abbie Lynn Cooprider, OTR | |
|
3461 Saint Marys Rd, West Terre Haute, IN 47885-9683 | |
| (812) 917-5618 | |
| (812) 917-5618 |
| Full Name | Abbie Lynn Cooprider |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3461 Saint Marys Rd, West Terre Haute, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578866281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31004834A (Indiana) | Primary |
| Provider Name | Shakamak Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1134996408 PECOS PAC ID: 8729517123 Enrollment ID: O20250130001637 |
| Mailing Address | Practice Location Address |
|---|---|
| Abbie Lynn Cooprider, OTR 3461 Saint Marys Rd, West Terre Haute, IN 47885-9683 Ph: (812) 917-5618 | Abbie Lynn Cooprider, OTR 3461 Saint Marys Rd, West Terre Haute, IN 47885-9683 Ph: (812) 917-5618 |
Legacy Healthcare Services Inc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3461 Saint Marys Rd, West Terre Haute, IN 47885 Phone: 812-917-5618 | |
Mr. Timothy Joe Johnson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3461 Saint Marys Rd, West Terre Haute, IN 47885 Phone: 812-917-5618 Fax: 812-917-5618 |