| Jacquelyn Puchala, OTR/L | |
|
13481 W Mcdowell Rd Ste 300, Goodyear, AZ 85395-2724 | |
| (623) 536-2325 | |
| Not Available |
| Full Name | Jacquelyn Puchala |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 13481 W Mcdowell Rd Ste 300, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447011762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 008785 (Arizona) | Primary |
| Provider Name | Rww Outpatient Rehab Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1447744461 PECOS PAC ID: 8729333521 Enrollment ID: O20181022003444 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Puchala, OTR/L 8904 W Missouri Ave, Glendale, AZ 85305-2264 Ph: (856) 745-9404 | Jacquelyn Puchala, OTR/L 13481 W Mcdowell Rd Ste 300, Goodyear, AZ 85395-2724 Ph: (623) 536-2325 |
Nicole Hernandez, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13481 W Mcdowell Rd Ste 300, Goodyear, AZ 85395 Phone: 480-244-3651 | |
Jazz Taylor White, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13385 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-986-5110 | |
Kristen Dicicco, OT, DOT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 N Estrella Pkwy Ste C, Goodyear, AZ 85338 Phone: 602-765-4348 Fax: 623-233-6567 | |
Mr. Thomas James Stevens, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395 Phone: 623-242-6908 | |
Candace B Ortiz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13851 W La Mar Blvd Ste D, Goodyear, AZ 85338 Phone: 623-399-6159 Fax: 623-399-6416 | |
Dr. Sara Murray Cloar, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13385 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-986-5110 | |
Megan Dzimira, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395 Phone: 623-229-7808 |