| Richard John O'donnell Iii, OTR/L | |
|
101 S Belt W, Belleville, IL 62220-2503 | |
| (618) 277-7700 | |
| Not Available |
| Full Name | Richard John O'donnell Iii |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 101 S Belt W, Belleville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760902795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056011293 (Illinois) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407487366 PECOS PAC ID: 2163339722 Enrollment ID: O20200327001604 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard John O'donnell Iii, OTR/L 2616 Alhambra Ct # A, Saint Louis, MO 63118-1116 Ph: () - | Richard John O'donnell Iii, OTR/L 101 S Belt W, Belleville, IL 62220-2503 Ph: (618) 277-7700 |
Tracy Parker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Susan Kay Mclaughlin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Suite 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Heather Cowden, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Country Club Acres, Belleville, IL 62223 Phone: 618-973-8137 | |
Kathryn Stump, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2411 Pathways Xing, Belleville, IL 62221 Phone: 618-355-4700 | |
Pyrkia Health Services Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Lake Forest Dr, Belleville, IL 62220 Phone: 618-873-3710 | |
Kristie Lynne Porter, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-236-7588 | |
Laura Ann Holobaugh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Memorial Dr, Suite 150, Belleville, IL 62226 Phone: 618-257-5250 |