| Nathaniel Brant Radcliff, OTR | |
|
2225 N Main St, Miami, OK 74354-1620 | |
| (918) 542-4101 | |
| Not Available |
| Full Name | Nathaniel Brant Radcliff |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 2225 N Main St, Miami, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053968909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Neo Orthopedic And Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1720153638 PECOS PAC ID: 4981941291 Enrollment ID: O20190124002060 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Brant Radcliff, OTR 16102 Pawnee Dr, Tyler, TX 75703-7965 Ph: () - | Nathaniel Brant Radcliff, OTR 2225 N Main St, Miami, OK 74354-1620 Ph: (918) 542-4101 |
Mrs. Kelsey Marie Turner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7517 | |
Elizabeth Angela Dove, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 N Main St, Miami, OK 74354 Phone: 918-542-4101 Fax: 918-542-4410 | |
April Wyatt, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7736 |