| Jessica Horan, | |
|
1000 Eddy Street, Providence, RI 02905 | |
| (401) 481-0823 | |
| Not Available |
| Full Name | Jessica Horan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1000 Eddy Street, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851689301 | NPI | - | NPPES |
| ES01788 | Medicaid | RI | |
| 412296 | Other | RI | EI BCHIP |
| 292177 | Other | RI | EI BCROSS |
| 6400144 | Other | RI | EI UNITED |
| 2092 | Other | RI | EI NHPRC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT00168-G (Rhode Island) | Primary |
| Provider Name | Public Hospital District No 4 King County Washington |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20040211001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Horan, 121 Meadowlark Dr, Seekonk, MA 02771-2713 Ph: (508) 272-4980 | Jessica Horan, 1000 Eddy Street, Providence, RI 02905 Ph: (401) 481-0823 |
Alexa Sendley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Randall Sq Ste 302, Providence, RI 02904 Phone: 401-443-5252 | |
Caitlin Kelly, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Edy Liriano, DRIVER Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Applegate Ln, Providence, RI 02905 Phone: 401-419-0580 | |
Allison Marie Hourahan, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 668 Eddy St, Providence, RI 02903 Phone: 401-274-1122 | |
Ms. Diana Navarro, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 Blackstone Blvd, Providence, RI 02906 Phone: 401-273-6565 | |
Mrs. Kelly L. Klampert, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Kristen Laurie Bourque, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 Summer St, Providence, RI 02903 Phone: 401-276-4300 |