| Mrs Jacqueline D Stroud, OT/L | |
|
118 Roger Dr, Collinsville, IL 62234-5814 | |
| (618) 791-3923 | |
| Not Available |
| Full Name | Mrs Jacqueline D Stroud |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 118 Roger Dr, Collinsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134442601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056006684 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline D Stroud, OT/L 118 Roger Dr, Collinsville, IL 62234-5814 Ph: (618) 791-3923 | Mrs Jacqueline D Stroud, OT/L 118 Roger Dr, Collinsville, IL 62234-5814 Ph: (618) 791-3923 |
Laura Gertz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Lakeview Ln, Collinsville, IL 62234 Phone: 186-580-0905 | |
Marissa Wenos, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 59 Orchid Dr, Collinsville, IL 62234 Phone: 618-791-7275 | |
Maria Nicole Luebbers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1207 Vandalia St, Collinsville, IL 62234 Phone: 618-215-5315 | |
Playworks, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Lakeview Ln, Collinsville, IL 62234 Phone: 618-580-0905 | |
Kristen Hamlin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1140 Collinsville Crossing Blvd, Collinsville, IL 62234 Phone: 618-578-5900 |