Jefferson Rabo Gomez, OTR/L | |
26 Rice Mill Rd, Port Wentworth, GA 31407-6022 | |
(732) 318-1930 | |
Not Available |
Full Name | Jefferson Rabo Gomez |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 26 Rice Mill Rd, Port Wentworth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437430006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT004929 (* (Not Available)) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20210225000096 |
Provider Name | The Weston Group Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679289888 PECOS PAC ID: 8123936796 Enrollment ID: O20230317000054 |
Mailing Address | Practice Location Address |
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Jefferson Rabo Gomez, OTR/L 4 La Vida Ct N, Savannah, GA 31419 Ph: (732) 318-1930 | Jefferson Rabo Gomez, OTR/L 26 Rice Mill Rd, Port Wentworth, GA 31407-6022 Ph: (732) 318-1930 |
Gig Group Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Twelve Oaks Rd, Port Wentworth, GA 31407 Phone: 256-225-2726 | |
Independent Physical Therapy Of Ga, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7938 Ga Highway 21, Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 Fax: 912-965-0603 |