Mr Paul Bryan Leonard, OTR,L, CLT | |
3895 Old Vineyard Rd, Winston Salem, NC 27104-4809 | |
(336) 283-9174 | |
(336) 283-9174 |
Full Name | Mr Paul Bryan Leonard |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 3895 Old Vineyard Rd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215252531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1029 (South Carolina) | Primary |
225X00000X | Occupational Therapist | 9348 (North Carolina) | Secondary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
Mailing Address | Practice Location Address |
---|---|
Mr Paul Bryan Leonard, OTR,L, CLT 3895 Old Vineyard Rd, Winston Salem, NC 27104-4809 Ph: (336) 283-9174 | Mr Paul Bryan Leonard, OTR,L, CLT 3895 Old Vineyard Rd, Winston Salem, NC 27104-4809 Ph: (336) 283-9174 |
Sarah Johnston, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 Kimel Park Dr Ste 139, Winston Salem, NC 27103 Phone: 336-718-6931 | |
Jonelle Claricia Bedford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110 Phone: 336-750-3174 | |
Catherine Coats, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110 Phone: 336-750-3174 | |
Martha Bowers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3812 Forrestgate Dr, Winston Salem, NC 27103 Phone: 336-774-3752 Fax: 336-774-3773 | |
Mrs. Mary C Winford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2585 Mid Salem Dr, Winston Salem, NC 27103 Phone: 601-754-4303 | |
Brittany Dixon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110 Phone: 336-750-2000 | |
Mrs. Kelli B Cross, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5755 Shattalon Dr, Winston Salem, NC 27105 Phone: 336-744-2779 |