| Julie Theill, | |
|
600 N College Ave, Geneseo, IL 61254-1091 | |
| (309) 944-6431 | |
| Not Available |
| Full Name | Julie Theill |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 600 N College Ave, Geneseo, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942564570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.002903 (Illinois) | Primary |
| Provider Name | Back 2 Action Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427509090 PECOS PAC ID: 3476837063 Enrollment ID: O20170227001740 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Theill, 600 N College Ave, Geneseo, IL 61254-1091 Ph: (309) 944-6431 | Julie Theill, 600 N College Ave, Geneseo, IL 61254-1091 Ph: (309) 944-6431 |
Amy Roberts, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 704 S Illinois St, Geneseo, IL 61254 Phone: 309-944-3072 | |
Rebecca Howard Rode, MS,OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 704 S Illinois St, Geneseo, IL 61254 Phone: 309-944-3072 | |
Alissa Haase, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N College Ave, Geneseo, IL 61254 Phone: 309-944-6431 | |
Melinda Brown, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N College Ave, Geneseo, IL 61254 Phone: 309-944-6431 | |
Miss Jessica Marie Ropp, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 322 W Exchange St, Geneseo, IL 61254 Phone: 309-944-0647 | |
Keri L Fuoco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 704 S Illinois St, Geneseo, IL 61254 Phone: 309-353-0439 | |
Andrea Davis, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1225 S Oakwood Ave Ste 100, Geneseo, IL 61254 Phone: 309-944-6447 Fax: 309-944-6448 |