| Maddison Lynn Aultman, OTD, OTR | |
|
1714 Wolf Cir, Lake Charles, LA 70605-2353 | |
| (337) 508-2505 | |
| (337) 508-2506 |
| Full Name | Maddison Lynn Aultman |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1714 Wolf Cir, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306672613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 343887 (Louisiana) | Primary |
| Provider Name | Maxx Therapy Of Lake Charles Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235953035 PECOS PAC ID: 5395271464 Enrollment ID: O20241212001503 |
| Mailing Address | Practice Location Address |
|---|---|
| Maddison Lynn Aultman, OTD, OTR 1714 Wolf Cir, Lake Charles, LA 70605-2353 Ph: (337) 508-2505 | Maddison Lynn Aultman, OTD, OTR 1714 Wolf Cir, Lake Charles, LA 70605-2353 Ph: (337) 508-2505 |
Danielle Nester Faulk, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 W Mcneese St, Lake Charles, LA 70605 Phone: 337-475-1053 Fax: 337-475-1048 | |
Megan Bercier, LOTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-491-7590 | |
Abigail Cudd, OT Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605 Phone: 337-478-5880 Fax: 337-478-5879 | |
Mr. Gerald Jules Declouet Jr., LOTR Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 4190 Gerstner Memorial Blvd, Lake Charles, LA 70607 Phone: 337-240-9730 | |
Erin Elizabeth Bradley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2519 Ryan St, Lake Charles, LA 70601 Phone: 337-491-0800 | |
Susan Helms Cart, OT Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7280 Fax: 337-478-1323 | |
Traci Winborne, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 208 W Mcneese St, Lake Charles, LA 70605 Phone: 337-475-1053 |