| Elizabeth Ann Rockwell, | |
|
2081 N Main St, Canton, IL 61520-1032 | |
| (309) 647-6135 | |
| Not Available |
| Full Name | Elizabeth Ann Rockwell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2081 N Main St, Canton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144496050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056002426 (Illinois) | Primary |
| Provider Name | Synergy Care Southeast Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20240731002829 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Rockwell, 2081 N Main St, Canton, IL 61520-1032 Ph: () - | Elizabeth Ann Rockwell, 2081 N Main St, Canton, IL 61520-1032 Ph: (309) 647-6135 |
Ms. Kathleen S. Goranson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2081 N Main St, Canton, IL 61520 Phone: 309-647-6135 | |
Mrs. Karen Elizabeth Lee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26691 E County Highway 27, Canton, IL 61520 Phone: 309-338-4922 | |
Christina Willey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 |