| Jan Waldt, OT | |
|
727 Se Main St Ste 200, Simpsonville, SC 29681-3262 | |
| (864) 454-6670 | |
| (864) 454-6675 |
| Full Name | Jan Waldt |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 727 Se Main St Ste 200, Simpsonville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043579683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Greenville Proaxis Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Waldt, OT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jan Waldt, OT 727 Se Main St Ste 200, Simpsonville, SC 29681-3262 Ph: (864) 454-6670 |
Hannah Duncan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Ladean Ct Ste E, Simpsonville, SC 29680 Phone: 864-498-9601 | |
Sara Bastys, MHA, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 Five Forks Rd, Simpsonville, SC 29681 Phone: 864-412-2772 | |
Ms. Angela Nicole Boyd, MSR, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Martele Ct, Simpsonville, SC 29680 Phone: 864-962-6832 Fax: 864-963-2583 | |
Erin Simmons, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Martele Ct, Simpsonville, SC 29680 Phone: 864-303-4622 | |
Beth Hollenbeck, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Portland Falls Dr, Simpsonville, SC 29680 Phone: 864-299-0066 | |
Clara Jane Martin, LMT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Allawood Ct Ste 110, Simpsonville, SC 29681 Phone: 864-238-9333 |