| Madeline Anne Gardner, MOT, OTR/L | |
|
968 N 4th St, Berthoud, CO 80513-1142 | |
| (303) 250-8425 | |
| Not Available |
| Full Name | Madeline Anne Gardner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 968 N 4th St, Berthoud, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962972786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0005721 (Colorado) | Primary |
| Provider Name | Covell Care And Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063695351 PECOS PAC ID: 9335223429 Enrollment ID: O20080228000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Anne Gardner, MOT, OTR/L 968 N 4th St, Berthoud, CO 80513-1142 Ph: () - | Madeline Anne Gardner, MOT, OTR/L 968 N 4th St, Berthoud, CO 80513-1142 Ph: (303) 250-8425 |
Kimberly Rousseau-simmons, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3400 Woodcock St Apt K1, Berthoud, CO 80513 Phone: 636-541-0986 | |
Alexis Blasi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 Sweetwater Ln, Berthoud, CO 80513 Phone: 580-977-9970 | |
Ms. Jean Ellen Malchow, MSOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 S Us Highway 287, Berthoud, CO 80513 Phone: 970-213-1114 | |
Theresa Eriksen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 Shelby Dr, Berthoud, CO 80513 Phone: 720-261-4993 |