| Achieve Rehab, Llc | |
|
1410 Polk Street, Great Bend, KS 67530-3619 | |
| (620) 792-2111 | |
| Not Available |
| Full Name | Achieve Rehab, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Hand |
| Location | 1410 Polk Street, Great Bend, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942399167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | 17-00389 (Kansas) | Primary |
| Provider Name | David M Gonzales |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558383018 PECOS PAC ID: 5890733208 Enrollment ID: I20050418000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Achieve Rehab, Llc 1410 Polk Street, Great Bend, KS 67530-3619 Ph: (620) 792-2111 | Achieve Rehab, Llc 1410 Polk Street, Great Bend, KS 67530-3619 Ph: (620) 792-2111 |
Wheatland Rehabilitation Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Cherry Ln, Great Bend, KS 67530 Phone: 316-792-2165 | |
Ladessa Lynn Forrest, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Cherry Ln, Great Bend, KS 67530 Phone: 620-792-2165 | |
Mrs. Jennifer A Hagerman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-786-6115 Fax: 620-792-3767 | |
David M. Gonzales, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1410 Polk Street, Great Bend, KS 67530 Phone: 620-792-2111 | |
Chelsea D Bieberle, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511 Fax: 620-786-6129 | |
Mary T Vuong, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-786-6111 |