| Okot Lymphedema Therapy, Llc | |
|
4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071-5736 | |
| (470) 317-7488 | |
| (317) 436-1199 |
| Full Name | Okot Lymphedema Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497467591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Oksana Kuliyev |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528538238 PECOS PAC ID: 9739503871 Enrollment ID: I20221229002840 |
| Mailing Address | Practice Location Address |
|---|---|
| Okot Lymphedema Therapy, Llc 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071-5736 Ph: (470) 317-7488 | Okot Lymphedema Therapy, Llc 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071-5736 Ph: (470) 317-7488 |
Oksana Kuliyev, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071 Phone: 470-317-7488 Fax: 317-436-1199 | |
Okot Lymphedema Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4720 Peachtree Industrial Blvd Ste 103, Berkeley Lake, GA 30071 Phone: 470-317-7488 Fax: 317-436-1199 |