| Ivona Boqumila Doberstein, OTR/L | |
|
68 Breezy Valley Connector, Hiram, GA 30141-3054 | |
| (724) 816-1800 | |
| (865) 951-7273 |
| Full Name | Ivona Boqumila Doberstein |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 68 Breezy Valley Connector, Hiram, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477825834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT007471 (Georgia) | Primary |
| Provider Name | Servant Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851911713 PECOS PAC ID: 5395168629 Enrollment ID: O20200706001079 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivona Boqumila Doberstein, OTR/L 3243 Heritage Cir, Hendersonville, NC 28791-3553 Ph: (828) 393-5168 | Ivona Boqumila Doberstein, OTR/L 68 Breezy Valley Connector, Hiram, GA 30141-3054 Ph: (724) 816-1800 |
Rebecca Seneth Faugno, OT/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 68 Breezy Valley Connector, Hiram, GA 30141 Phone: 724-816-1800 Fax: 865-951-7273 | |
Soar Health, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4215 Jimmy Lee Smith Pkwy Ste 19-267, Hiram, GA 30141 Phone: 470-944-3115 | |
Kristin Boatner, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 262 Lakeview Ln, Hiram, GA 30141 Phone: 770-361-4124 Fax: 770-445-3073 | |
Mr. James Robert Donley, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5646 Riding Woods Dr Sw, Hiram, GA 30141 Phone: 770-943-4847 Fax: 770-943-4847 |