| Mrs Heather Jean Kagan, OTR/L | |
|
1225 Broadrick Dr, Dalton, GA 30720-2504 | |
| (706) 272-6199 | |
| (706) 272-6291 |
| Full Name | Mrs Heather Jean Kagan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1225 Broadrick Dr, Dalton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902918584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT003505 (Georgia) | Primary |
| Provider Name | Inclusive Rehabilitation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417525916 PECOS PAC ID: 3476958976 Enrollment ID: O20210821000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather Jean Kagan, OTR/L 408 Adelaide Xing, Acworth, GA 30101-5933 Ph: (770) 966-8259 | Mrs Heather Jean Kagan, OTR/L 1225 Broadrick Dr, Dalton, GA 30720-2504 Ph: (706) 272-6199 |
Mrs. Amber Marie Frick, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 Broadrick Dr, Dalton, GA 30720 Phone: 706-272-6199 | |
Shinette Alinas, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721 Phone: 866-261-8090 Fax: 706-226-7869 | |
Taylor Cansler Womack, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1225 Broadrick Dr, Dalton, GA 30720 Phone: 706-272-6199 | |
Mary Cathrine Cusi, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 W Waugh St, Dalton, GA 30720 Phone: 762-226-2287 | |
Mrs. Cristy Melinda Drury, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Broadrick Dr, Dalton, GA 30720 Phone: 866-261-8090 | |
Miss Pauline Parillo Goroza, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721 Phone: 866-261-8090 Fax: 706-226-7869 | |
Mrs. Haleigh N Wilson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 Broadrick Dr, Dalton, GA 30720 Phone: 706-272-6199 |