| Christine Banas Soriano, | |
|
4407 Amarillo St, Blytheville, AR 72315-5702 | |
| (870) 532-2229 | |
| (870) 532-8237 |
| Full Name | Christine Banas Soriano |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4407 Amarillo St, Blytheville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376651612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR 1812 (Arkansas) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336770221 PECOS PAC ID: 2163339722 Enrollment ID: O20200305001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Banas Soriano, 27575 N Silverado Ranch Rd, Peoria, AZ 85383-8819 Ph: (480) 823-9291 | Christine Banas Soriano, 4407 Amarillo St, Blytheville, AR 72315-5702 Ph: (870) 532-2229 |
Justino Mario C Dublois, Jr., Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4407 Amarillo St, Blytheville, AR 72315 Phone: 870-532-2229 | |
Sinu K George, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4407 Amarillo St, Blytheville, AR 72315 Phone: 870-532-2229 | |
First Step Arkansas, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 S Division St, Blytheville, AR 72315 Phone: 870-763-2390 | |
Ma Cedeno, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4407 Amarillo Street, Blytheville, AR 72315 Phone: 870-532-2229 Fax: 870-532-8237 | |
Michelle N Baum, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4407 Amarillo St, Blytheville, AR 72315 Phone: 870-532-2229 |