| Madelyn Nicole Porrez, | |
|
1204 Linden St, Dallas Center, IA 50063-1052 | |
| (515) 992-3735 | |
| Not Available |
| Full Name | Madelyn Nicole Porrez |
|---|---|
| Gender | Facility |
| Speciality | Occupational Therapist |
| Location | 1204 Linden St, Dallas Center, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689476350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (Iowa) | Primary |
| Provider Name | Fox Rehab Ot Ia Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073274585 PECOS PAC ID: 5890180814 Enrollment ID: O20220309002281 |
| Mailing Address | Practice Location Address |
|---|---|
| Madelyn Nicole Porrez, 11623 Arbor St, Omaha, NE 68144-2981 Ph: () - | Madelyn Nicole Porrez, 1204 Linden St, Dallas Center, IA 50063-1052 Ph: (515) 992-3735 |
Mary Echterling, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22263 S. Avenue, Dallas Center, IA 50063 Phone: 515-360-1138 | |
Mary Margaret Nugent, O.T.R./L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1204 Linden St, Dallas Center, IA 50063 Phone: 515-992-3735 | |
Jacklyn Leann Faaborg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1204 Linden St, Dallas Center, IA 50063 Phone: 515-992-3735 |