| Jerry Andrew Retton, OTR/L | |
|
379 Pinehaven Street Ext, Laurens, SC 29360-2672 | |
| (864) 984-6584 | |
| (864) 984-6464 |
| Full Name | Jerry Andrew Retton |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 379 Pinehaven Street Ext, Laurens, 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 |
|---|---|---|---|
| 1417299785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 4084 (South Carolina) | Primary |
| Provider Name | Sobe Innovative Rehabilitation Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Andrew Retton, OTR/L 379 Pinehaven Street Ext, Laurens, SC 29360-2672 Ph: (864) 984-6584 | Jerry Andrew Retton, OTR/L 379 Pinehaven Street Ext, Laurens, SC 29360-2672 Ph: (864) 984-6584 |
Dial Sullivan Health Specialists, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Hunters Ct, Laurens, SC 29360 Phone: 186-471-5900 | |
Mrs. Sarah Anne Taylor, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 379 Pinehaven Street Ext, Laurens, SC 29360 Phone: 864-984-6584 Fax: 864-984-6464 | |
Iris Boney, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 379 Pinehaven Street Ext, Laurens, SC 29360 Phone: 864-984-6584 | |
Mrs. Christine Elecia Lynch Thompson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Martha Franks Dr, Laurens, SC 29360 Phone: 864-984-4541 Fax: 864-681-8291 | |
Jessica L Newton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Pinehaven Street, Laurens, SC 29360 Phone: 864-984-6584 | |
Hallie Keisler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 Evergreen Skills Rd, Laurens, SC 29360 Phone: 803-687-8008 |