| Etta Renee Rich, | |
|
900 W Main St, Rogersville, TN 37857-2448 | |
| (423) 500-5600 | |
| (423) 317-7773 |
| Full Name | Etta Renee Rich |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 7 Years |
| Location | 900 W Main St, Rogersville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902437478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jordan C Black | 5890117469 | 25 |
| Provider Name | Jordan C Black |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528569316 PECOS PAC ID: 5890117469 Enrollment ID: O20200629000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Etta Renee Rich, 325 W Morris Blvd Ste B, Morristown, TN 37813-2237 Ph: (423) 375-8907 | Etta Renee Rich, 900 W Main St, Rogersville, TN 37857-2448 Ph: (423) 500-5600 |
Janet Leigh Dugger, MSOTR/L, CPAM Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Highway 70 N, Rogersville, TN 37857 Phone: 423-272-3099 | |
Alaina M Kuebler, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Tn-70, Rogersville, TN 37857 Phone: 423-272-3099 | |
Mr. Steve Michael Zill, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Meadow View Rd, Rogersville, TN 37857 Phone: 813-991-1555 |