| Mr Shad M Altman, OT | |
|
3610 Se Huntington Cir, Lawton, OK 73501-8445 | |
| (580) 704-6668 | |
| (580) 351-9227 |
| Full Name | Mr Shad M Altman |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 3610 Se Huntington Cir, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841558913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1375 (Oklahoma) | Primary |
| Provider Name | Blue Rock Health And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1578046827 PECOS PAC ID: 7618221375 Enrollment ID: O20181115000599 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shad M Altman, OT 3610 Se Huntington Cir, Lawton, OK 73501-8445 Ph: (580) 704-6668 | Mr Shad M Altman, OT 3610 Se Huntington Cir, Lawton, OK 73501-8445 Ph: (580) 704-6668 |
Mr. Heidi Lyn Austin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd, Lawton, OK 73505 Phone: 580-250-5385 | |
Savannah Rose Cloar, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1401 Sw Parkridge Blvd Ste A, Lawton, OK 73505 Phone: 580-730-8015 Fax: 580-730-8016 | |
Jodi Linn Perez, MS,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7019 Nw Cache Rd, Lawton, OK 73505 Phone: 580-351-3158 Fax: 580-510-3158 | |
Essential Skills Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6223 W Gore Blvd, Lawton, OK 73505 Phone: 301-332-8009 | |
Deborah Small, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 E Gore Blvd, Lawton, OK 73501 Phone: 858-531-9217 | |
Mrs. Aileen Louise Sadler, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11400 Nw Cache Rd, Lawton, OK 73505 Phone: 580-536-3533 | |
Powerback Rehabilitation Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 501 Se Flower Mound Rd, Lawton, OK 73501 Phone: 580-771-3266 |