| Donna Pettick, OTR/L | |
|
102 Arbor Rd, Summerville, SC 29485-5704 | |
| (843) 568-4786 | |
| (888) 965-4405 |
| Full Name | Donna Pettick |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 102 Arbor Rd, Summerville, 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 |
|---|---|---|---|
| 1235244211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 6202 (South Carolina) | Primary |
| 225X00000X | Occupational Therapist | 1877 (New York) | Secondary |
| Provider Name | Ucpa Of Suffolk Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609964790 PECOS PAC ID: 8022907542 Enrollment ID: O20040312000828 |
| Provider Name | Family Residences And Essential Enterprises Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093863565 PECOS PAC ID: 5890687453 Enrollment ID: O20040327000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Pettick, OTR/L 1235 Ashley Garden Blvd Unit 1622, Charleston, SC 29414-9219 Ph: (631) 339-3373 | Donna Pettick, OTR/L 102 Arbor Rd, Summerville, SC 29485-5704 Ph: (843) 568-4786 |
Jillian Bree Hunter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4015 2nd Ave Ste B, Summerville, SC 29486 Phone: 850-588-9641 Fax: 888-711-0441 | |
Suchita Prakash Bhayade, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 Salkahatchie St, Summerville, SC 29485 Phone: 843-810-6605 | |
Katherine Velez, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 835 S Main St, Summerville, SC 29483 Phone: 843-873-2372 | |
Corinne Rapier, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 W 9th North St, Summerville, SC 29483 Phone: 843-879-0922 Fax: 855-232-8604 | |
Rachel Mink Spencer, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Nexton Square Dr, Summerville, SC 29486 Phone: 854-429-4263 Fax: 843-767-8569 | |
Mrs. Elaina Novak, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4015 2nd Ave Ste B, Summerville, SC 29486 Phone: 803-929-7408 |