| Jamie Blake, OT | |
|
3985 Steve Reynolds Blvd Bldg G, Norcross, GA 30093-3001 | |
| (770) 622-2532 | |
| (770) 622-2534 |
| Full Name | Jamie Blake |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 17 Years |
| Location | 3985 Steve Reynolds Blvd Bldg G, Norcross, Georgia |
| 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 |
|---|---|---|---|
| 1922378736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Fundamental Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780110155 PECOS PAC ID: 4789936113 Enrollment ID: O20181011002104 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Blake, OT 3985 Steve Reynolds Blvd Bldg G, Norcross, GA 30093-3001 Ph: (770) 622-2532 | Jamie Blake, OT 3985 Steve Reynolds Blvd Bldg G, Norcross, GA 30093-3001 Ph: (770) 622-2532 |
Caitlin Pardus, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3985 Steve Reynolds Blvd Bldg G, Norcross, GA 30093 Phone: 770-622-2532 | |
Mr. Hien Huynh, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5977 Spalding Dr, Norcross, GA 30092 Phone: 404-788-3091 | |
Divya Ragala-brooks, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5270 Medlock Corners Dr, Norcross, GA 30092 Phone: 404-259-3252 | |
Amber Barry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3985 Steve Reynolds Blvd Bldg G, Norcross, GA 30093 Phone: 770-622-2532 Fax: 770-622-2534 | |
Mrs. Janet Chakkalapadavil, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6075 The Corners Pkwy Ste 105, Norcross, GA 30092 Phone: 470-612-2541 Fax: 404-882-0495 | |
Mrs. Disha Sai Mudulodu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3985 Steve Reynolds Blvd Bldg G, Norcross, GA 30093 Phone: 770-622-2532 Fax: 770-622-2534 | |
Kayla Bryan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3985 Steve Reynolds Blvd Bldg G, Norcross, GA 30093 Phone: 770-622-2532 |