| Mary Elizabeth Pennington, OTR/L | |
|
3843 Ivy Ct, Martinez, GA 30907-2812 | |
| (706) 750-3282 | |
| Not Available |
| Full Name | Mary Elizabeth Pennington |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3843 Ivy Ct, Martinez, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689483588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT008255 (Georgia) | Primary |
| Provider Name | Southeastern Swallowing Diagnostics |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205377348 PECOS PAC ID: 7719239359 Enrollment ID: O20181031000891 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Pennington, OTR/L 3843 Ivy Ct, Martinez, GA 30907-2812 Ph: (706) 750-3282 | Mary Elizabeth Pennington, OTR/L 3843 Ivy Ct, Martinez, GA 30907-2812 Ph: (706) 750-3282 |
A'raya Bradley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd Bldg 9, Martinez, GA 30907 Phone: 706-842-5330 Fax: 706-842-5340 | |
Tiara Racquel Jones, MS, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 3580 River Watch Pkwy, Martinez, GA 30907 Phone: 706-364-3470 Fax: 706-496-7789 | |
Occupational Therapy Plus, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd, Bldg. 12, Suite C, Martinez, GA 30907 Phone: 706-863-7694 | |
Pediatric Occupational Therapy, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3737 Roscommon N, Martinez, GA 30907 Phone: 706-860-9996 Fax: 706-868-7497 | |
Stacie Marie Morris, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 718 Gentlewind Ln, Martinez, GA 30907 Phone: 706-631-8089 | |
Mariana D'amico, EDD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3624 Old Petersburg Road, Sensational Kids Pediatric Rehabilitation Center Inc, Martinez, GA 30907 Phone: 706-364-3470 Fax: 706-364-3470 | |
Meredith Burgamy Anderson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3580 River Watch Pkwy, Martinez, GA 30907 Phone: 706-364-3470 |