| Mario Millsap, | |
|
3144 Lackland Ave, Saint Louis, MO 63116-2020 | |
| (314) 200-5486 | |
| Not Available |
| Full Name | Mario Millsap |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 3144 Lackland Ave, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841935590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Fox Rehabilitation Services OT Mo LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386269363 PECOS PAC ID: 4587089925 Enrollment ID: O20200803001428 |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Millsap, 3144 Lackland Ave, Saint Louis, MO 63116-2020 Ph: Not Available | Mario Millsap, 3144 Lackland Ave, Saint Louis, MO 63116-2020 Ph: (314) 200-5486 |
Michelle Lauren Chambers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6022 S Lindbergh Blvd Ste 100, Saint Louis, MO 63123 Phone: 314-845-7751 Fax: 314-845-7752 |
Miss Kaitlin Marie Chilman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 618-841-7444 |
Hannah Florence, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4471 Olive St, Saint Louis, MO 63108 Phone: 314-531-0982 |
Jennifer Renee Hemmings, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Partridge Ave, Saint Louis, MO 63130 Phone: 202-531-7306 |
Christina Eddins, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-3000 |
Emily Ruyle, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2718 Sutton Blvd, Saint Louis, MO 63143 Phone: 314-246-0751 Fax: 314-754-9926 |
Kathleen Sayler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10950 Coral Ridge Dr, Saint Louis, MO 63123 Phone: 314-724-3770 |