| Axel Edgardo Colon Padin, OTR/L | |
|
215 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8850 | |
| (831) 333-6148 | |
| Not Available |
| Full Name | Axel Edgardo Colon Padin |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 215 Dunbar Cave Rd Ste A, Clarksville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770169658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 6759 (Tennessee) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518 |
| Mailing Address | Practice Location Address |
|---|---|
| Axel Edgardo Colon Padin, OTR/L 215 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8850 Ph: (931) 542-2739 | Axel Edgardo Colon Padin, OTR/L 215 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8850 Ph: (831) 333-6148 |
Joyse Lopata, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3476 Oak Creek Dr, Clarksville, TN 37040 Phone: 239-989-6157 | |
Cara Owens, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Needmore Rd, Suite A, Clarksville, TN 37040 Phone: 931-538-3755 | |
Veronica Nicole Belickis, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Professional Park Dr, Clarksville, TN 37040 Phone: 931-552-3002 | |
Danita Batista, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 Professional Park Dr, Clarksville, TN 37040 Phone: 931-542-2168 | |
Aline Fawzi Wimberly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 396 Augusta Pl, Clarksville, TN 37043 Phone: 614-570-8918 | |
Julie Anne Juracich, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 Professional Park Dr, Clarksville, TN 37040 Phone: 931-542-2168 | |
Rya Gillian Carter, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 Professional Park Dr, Clarksville, TN 37040 Phone: 931-542-2168 Fax: 931-542-2206 |