| Mrs Tomeeker Booth Gary, | |
|
6247 Bushnell Dr, New Kent, VA 23124-3035 | |
| (804) 304-0837 | |
| (804) 302-6496 |
| Full Name | Mrs Tomeeker Booth Gary |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 6247 Bushnell Dr, New Kent, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083630313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119003644 (Virginia) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Functional Home Transformations Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1558937870 PECOS PAC ID: 6901209626 Enrollment ID: O20210719002473 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tomeeker Booth Gary, 6247 Bushnell Dr, New Kent, VA 23124-3035 Ph: (804) 304-0837 | Mrs Tomeeker Booth Gary, 6247 Bushnell Dr, New Kent, VA 23124-3035 Ph: (804) 304-0837 |
Functional Home Transformations, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6247 Bushnell Dr, New Kent, VA 23124 Phone: 804-304-0837 Fax: 804-302-6496 | |
Adrienne Deloris Garner, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8009 New Kent Hwy, New Kent, VA 23124 Phone: 804-932-4815 |