| Sarah Putt, OT | |
|
130 Parkway Plz, Kosciusko, MS 39090-3217 | |
| (662) 289-3588 | |
| (662) 289-3533 |
| Full Name | Sarah Putt |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 130 Parkway Plz, Kosciusko, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144736885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT3351 (Mississippi) | Primary |
| Provider Name | Premier Medical Group Of Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254 |
| Provider Name | Drayer Physical Therapy Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Putt, OT Po Box 23996, Jackson, MS 39225-3996 Ph: (601) 206-6100 | Sarah Putt, OT 130 Parkway Plz, Kosciusko, MS 39090-3217 Ph: (662) 289-3588 |
Sophie Champagne Black, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 | |
Imani Finley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-739-6162 Fax: 662-739-6163 | |
Mrs. Tanya L Steen, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plaza, Kosciusko, MS 39090 Phone: 662-289-3488 Fax: 662-289-3433 | |
Mylissa Hodges, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 | |
Imani Community Outreach Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Jefferson St, Kosciusko, MS 39090 Phone: 662-289-7676 | |
Mrs. Dorothy Michele Fulgham, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-2486 |