| Leah Mesquita, | |
|
10 Medical Blvd, Hattiesburg, MS 39401-7230 | |
| (601) 264-0357 | |
| Not Available |
| Full Name | Leah Mesquita |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 10 Medical Blvd, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417184375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Mesquita, 4109 Highway 98 W, Summit, MS 39666-9132 Ph: () - | Leah Mesquita, 10 Medical Blvd, Hattiesburg, MS 39401-7230 Ph: (601) 264-0357 |
Jessica Kopf Cornett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-264-0310 | |
Jeremy Lofton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 | |
Carly Toups, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 | |
Lee Pace, FNP, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Alicia Thornton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 Fax: 601-607-1377 | |
Kellie Sasser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-543-0310 | |
Naja Walton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 |