| Olivia Moore, OTD, OTR/L | |
| 
					1800 W State St, Fremont, OH 43420-1636  | |
| (419) 332-6709 | |
| Not Available | 
| Full Name | Olivia Moore | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist | 
| Location | 1800 W State St, Fremont, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386303972 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT011567 (Ohio) | Primary | 
| Provider Name | Pt Services Rehabilitation Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1972505576 PECOS PAC ID: 2567487887 Enrollment ID: O20231219003173  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Olivia Moore, OTD, OTR/L 1130 Peru Center Rd N, Monroeville, OH 44847-9593 Ph: (419) 706-7851  | Olivia Moore, OTD, OTR/L 1800 W State St, Fremont, OH 43420-1636 Ph: (419) 332-6709  | 
Ashtyn Stadler,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1247 N River Rd, Fremont, OH 43420 Phone: 567-201-4184  | |
Rose Ann Tin,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2222 Augusta Dr, Fremont, OH 43420 Phone: 419-559-1091  | |
Gretchen Mies, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W State St, Suite A, Fremont, OH 43420 Phone: 419-332-6454  | |
Deborah S Ransbottom, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Cleveland Ave, Fremont, OH 43420 Phone: 419-334-6630 Fax: 419-334-6673  | |
Linda Edmonds, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Brush St, Fremont, OH 43420 Phone: 419-334-9521  | |
Courtney Andryc, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Cleveland Ave, Fremont, OH 43420 Phone: 419-334-6630  |