| Innovative Ot Nc, Llc | |
|
412 Fire Opal Lane, Holly Springs, NC 27540 | |
| (919) 244-8367 | |
| Not Available |
| Full Name | Innovative Ot Nc, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 412 Fire Opal Lane, Holly Springs, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124764782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Karen T Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679772826 PECOS PAC ID: 9931432911 Enrollment ID: I20190605003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Ot Nc, Llc 644 Holly Springs Rd Ste 148, Holly Springs, NC 27540-9030 Ph: (919) 244-8367 | Innovative Ot Nc, Llc 412 Fire Opal Lane, Holly Springs, NC 27540 Ph: (919) 244-8367 |
Rachel Lynn Kwiatkowski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2106 Crossway Ln, Holly Springs, NC 27540 Phone: 919-762-7175 | |
Hallie Young, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1140 Holly Springs Rd Ste 111, Holly Springs, NC 27540 Phone: 919-285-2157 | |
Mrs. Ashley Taylor Railsback, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Trinidad Ct, Holly Springs, NC 27540 Phone: 704-641-4296 | |
Senior Moments Consulting, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 100 Triple Crown Trl, Holly Springs, NC 27540 Phone: 919-721-9939 | |
Erica Miranda Blaschke, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1140 Holly Springs Rd Ste 111, Holly Springs, NC 27540 Phone: 919-285-2157 | |
Elizabeth Mullen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Lolliberry Dr, Holly Springs, NC 27540 Phone: 732-685-1231 |