| Jonathan Glavich, OTR/L | |
|
1221 Broad St, Fuquay Varina, NC 27526-3602 | |
| (919) 552-4580 | |
| Not Available |
| Full Name | Jonathan Glavich |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1221 Broad St, Fuquay Varina, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427768134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 15274 (North Carolina) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Glavich, OTR/L 105 Barningham Ct, Cary, NC 27519-5505 Ph: (919) 744-7852 | Jonathan Glavich, OTR/L 1221 Broad St, Fuquay Varina, NC 27526-3602 Ph: (919) 552-4580 |
Ms. Madalyn Marie Payden, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 Fax: 919-578-8780 | |
Pamela Graham, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 N Main St, Fuquay Varina, NC 27526 Phone: 616-717-1665 | |
Rachel Margolin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Joanne Scannell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 South Fuquay Ave, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Soriah Michele Milorin, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Shining Stars Therapy, Pa Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Drive, Fuquay Varina, NC 27526 Phone: 919-557-8305 Fax: 919-557-8306 | |
Mrs. Bridget Ann Peterson, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 S Fuquay Ave, Fuquay Varina, NC 27526 Phone: 919-557-8305 |