| Jessica Doll, | |
|
5535 S Williamson Blvd, Port Orange, FL 32128-8311 | |
| (888) 265-2680 | |
| Not Available |
| Full Name | Jessica Doll |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5535 S Williamson Blvd, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235600776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 022298-1 (New York) | Primary |
| Provider Name | Fox Rehabilitation Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Doll, 560 Plympton St, New Milford, NJ 07646-2013 Ph: () - | Jessica Doll, 5535 S Williamson Blvd, Port Orange, FL 32128-8311 Ph: (888) 265-2680 |
Tonika Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Stacy Wojy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Elizabeth Horrall, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Joshua Ruiz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 800-330-7711 | |
Emily Noltemeyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Heidi Meramo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680 | |
Gina Sentelik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-756-4395 |