| Ms Jacqueline A Groce, OTR | |
|
2155 W Park Ct, Suite G, Stone Mountain, GA 30087-3500 | |
| (770) 465-5084 | |
| (770) 465-5304 |
| Full Name | Ms Jacqueline A Groce |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2155 W Park Ct, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669595708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT003908 (Georgia) | Primary |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20171207000375 |
| Provider Name | Empowerme Rehabilitation Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacqueline A Groce, OTR 1528 Breton Hunt Ln, Suwanee, GA 30024-3874 Ph: (678) 482-6040 | Ms Jacqueline A Groce, OTR 2155 W Park Ct, Suite G, Stone Mountain, GA 30087-3500 Ph: (770) 465-5084 |
Miss Sharla M Palmer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2155 W Park Ct, Suite G/ H, Stone Mountain, GA 30087 Phone: 770-465-5084 | |
Michelle Tomlinson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6740 James B Rivers Dr, Stone Mountain, GA 30083 Phone: 678-250-3250 | |
Mrs. Melanie D Earles, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2155 W Park Ct, Suite G/h, Stone Mountain, GA 30087 Phone: 770-465-5084 Fax: 770-465-5304 | |
Mrs. Jerolyn N Redstrom, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2155 W Park Ct, Suite G/ H, Stone Mountain, GA 30087 Phone: 770-465-5084 | |
Ms. Elise Leona Livesey, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5408 Park Cir, Stone Mountain, GA 30083 Phone: 147-023-4755 | |
Mr. Gabriel James Hawkins, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Springhouse Cir, Stone Mountain, GA 30087 Phone: 678-684-3870 | |
Raeanne Elizabeth Gialanella, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5839 Memorial Drive, Stone Mountain, GA 30083 Phone: 678-679-1800 |