| Four Ravens Occupational Therapy Llc | |
|
69 Beach Road, Haines, AK 99827-0778 | |
| (907) 766-2101 | |
| (907) 766-2104 |
| Full Name | Four Ravens Occupational Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 69 Beach Road, Haines, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821407867 | NPI | - | NPPES |
| 1023560 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1660 (Alaska) | Primary |
| Provider Name | Margaret M Heyman-hotch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972771798 PECOS PAC ID: 7517119811 Enrollment ID: I20140702000848 |
| Provider Name | Lioba Sophie Menger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861033458 PECOS PAC ID: 1153733217 Enrollment ID: I20201214001680 |
| Provider Name | Matthew W Barkofske |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609541937 PECOS PAC ID: 5092112714 Enrollment ID: I20210923000744 |
| Provider Name | Robert L Bowers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679230304 PECOS PAC ID: 8628467180 Enrollment ID: I20211123000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Four Ravens Occupational Therapy Llc Po Box 778, Haines, AK 99827-0778 Ph: (907) 766-2101 | Four Ravens Occupational Therapy Llc 69 Beach Road, Haines, AK 99827-0778 Ph: (907) 766-2101 |
Dr. Ryan Salmon, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 79 Chilkat Ave, Haines, AK 99827 Phone: 907-314-0808 | |
Mrs. Brianna Gibbs Cooper, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-766-2101 | |
Southeast Ot Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 206 Piedad Road, Haines, AK 99827 Phone: 907-314-0081 | |
Matthew William Barkofske, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-766-2101 | |
Four Ravens Occupational Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-314-0808 Fax: 907-766-2104 | |
Robert Bowers, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-766-2101 Fax: 907-766-2104 |