| Mary Ellen Vincent, OTR/L | |
|
6455 Pearl Rd, Parma Heights, OH 44130-2984 | |
| (440) 887-6254 | |
| Not Available |
| Full Name | Mary Ellen Vincent |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 6455 Pearl Rd, Parma Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396077723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 002217 (Ohio) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Vincent, OTR/L 6455 Pearl Rd, Parma Heights, OH 44130-2984 Ph: (440) 887-6254 | Mary Ellen Vincent, OTR/L 6455 Pearl Rd, Parma Heights, OH 44130-2984 Ph: (440) 887-6254 |
Jeanne Peacock, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6455 Pearl Rd, Parma Heights, OH 44130 Phone: 440-888-5900 | |
Mrs. Marisol Dominguez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6455 Pearl Rd, Parma Heights, OH 44130 Phone: 440-887-6100 | |
Bonnie Schlegel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9999 Independence Blvd, Parma Heights, OH 44130 Phone: 440-885-2330 Fax: 440-885-8412 | |
Lauren Ashley Szymczyk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6455 Pearl Rd, Parma Heights, OH 44130 Phone: 440-888-5900 | |
Ms. Kimberly Ann Krumhansl, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6455 Pearl Rd, Parma Heights, OH 44130 Phone: 440-887-5705 |