Mrs Kathryn C Faulkner, OTR/L | |
1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 | |
(208) 966-4476 | |
(208) 966-4475 |
Full Name | Mrs Kathryn C Faulkner |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1812 N Lakewood Dr Ste 100, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497097836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT14583 (Florida) | Primary |
Provider Name | Orthopedic Surgery And Sports |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083729438 PECOS PAC ID: 3375519168 Enrollment ID: O20040902001125 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathryn C Faulkner, OTR/L 405 Racetrack Rd Ne Ste 101, Fort Walton Beach, FL 32547-3960 Ph: () - | Mrs Kathryn C Faulkner, OTR/L 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 Ph: (208) 966-4476 |
Lanmana Parys-wolodkewitsch, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Mr. Christy Sater Adams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 | |
Sarah B Vore, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D1, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Taylor Lee Kroll, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814 Phone: 208-966-4476 Fax: 208-966-4475 | |
Autumn B Deda, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122 | |
Megan Marney, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Clarence Andrew Sims, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1917 N Lakewood Dr, Coeur D Alene, ID 83814 Phone: 208-664-8194 Fax: 208-667-1847 |