| Autumn Walters, | |
|
203 Old Chapin Rd, Lexington, SC 29072-2017 | |
| (803) 828-0037 | |
| Not Available |
| Full Name | Autumn Walters |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 203 Old Chapin Rd, Lexington, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508672858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366063000 PECOS PAC ID: 2163339722 Enrollment ID: O20200629001631 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Walters, 205 Heritage Hills Dr, Columbia, SC 29203-9298 Ph: (803) 846-2333 | Autumn Walters, 203 Old Chapin Rd, Lexington, SC 29072-2017 Ph: (803) 828-0037 |
Paul J. Tardy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Serendipity Way # D, Lexington, SC 29072 Phone: 803-556-3911 Fax: 866-887-4617 | |
Whitney Stilwell, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Karsen Walker, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 E Main St, Lexington, SC 29072 Phone: 910-584-3760 | |
Amanda Zoccolo, MSOT, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 | |
Jillian Christiana Hutchins, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Marley Scott, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Morgan Pace, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 |