| Miracle Mile Therapy Llc | |
|
2780 N Florida Ave, Unit 1 Hernando Plaza, Hernando, FL 34442-4390 | |
| (877) 773-7123 | |
| (877) 773-7123 |
| Full Name | Miracle Mile Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 2780 N Florida Ave, Hernando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235675307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT18040 (Florida) | Primary |
| Provider Name | Cheryl Yarchuk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265666986 PECOS PAC ID: 0244515393 Enrollment ID: I20170403000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Mile Therapy Llc 2780 N Florida Ave, Ste 1, Hernando, FL 34442-4390 Ph: (877) 773-7123 | Miracle Mile Therapy Llc 2780 N Florida Ave, Unit 1 Hernando Plaza, Hernando, FL 34442-4390 Ph: (877) 773-7123 |
Wanda Marie Lee, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1047 N Hunt Club Dr, Hernando, FL 34442 Phone: 352-344-9755 Fax: 352-344-9411 | |
Mrs. Lisa Harper Reed, P.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2679 N Forest Ridge Blvd, Hernando, FL 34442 Phone: 352-746-2371 Fax: 352-746-3729 | |
Cheryl A Yarchuk, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2780 N Florida Ave, Unit 1 Hernando Plaza, Hernando, FL 34442 Phone: 877-773-7123 Fax: 877-773-7123 | |
Ms. Nicole Fay Wall, B.S. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 778 West Cockatiel Loop, Hernando, FL 34442 Phone: 305-308-5816 Fax: 305-243-3155 | |
Julie Honness, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2679 N Forest Ridge Blvd, Hernando, FL 34442 Phone: 352-746-2371 Fax: 352-746-3729 | |
Mary Lou Davis Ix, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2679 N Forest Ridge Blvd, Hernando, FL 34442 Phone: 352-746-2371 Fax: 352-746-3729 |