| Alicia Moat, OTR/L | |
|
400 N 7th St, Marietta, OH 45750-2024 | |
| (740) 373-3597 | |
| (740) 376-0004 |
| Full Name | Alicia Moat |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Gerontology |
| Location | 400 N 7th St, Marietta, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811327141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XG0600X | Occupational Therapist - Gerontology | 5938 (Ohio) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689194755 PECOS PAC ID: 6507832573 Enrollment ID: O20170822000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Moat, OTR/L 400 N 7th St, Marietta, OH 45750-2024 Ph: (740) 373-3597 | Alicia Moat, OTR/L 400 N 7th St, Marietta, OH 45750-2024 Ph: (740) 373-3597 |
Alexis Palazzo, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 Gross St, Marietta, OH 45750 Phone: 740-374-1422 | |
Taylor Lemasters, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 Gross St, Marietta, OH 45750 Phone: 740-374-1422 Fax: 740-423-3600 | |
Mr. Jason Ellis Moore, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Edmar Ave, Marietta, OH 45750 Phone: 740-373-0761 | |
Nicole Alexandria Lang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1338 Colegate Dr, Marietta, OH 45750 Phone: 740-373-6669 | |
Alexandria Nikole Bastin, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 Timberline Dr, Marietta, OH 45750 Phone: 740-376-0535 | |
Susan Jahn, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1338a Colegate Dr, Marietta, OH 45750 Phone: 740-373-6669 Fax: 740-376-5809 | |
Christal Ann Hilley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-374-1400 |