| Southeast Ot Llc | |
|
206 Piedad Road, Haines, AK 99827 | |
| (907) 314-0081 | |
| Not Available |
| Full Name | Southeast Ot Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 206 Piedad Road, Haines, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518431329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Ryan J Salmon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295193472 PECOS PAC ID: 2860783743 Enrollment ID: I20160623001898 |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Ot Llc Po Box 877, Haines, AK 99827-0877 Ph: (907) 314-0081 | Southeast Ot Llc 206 Piedad Road, Haines, AK 99827 Ph: (907) 314-0081 |
Dr. Ryan Salmon, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 79 Chilkat Ave, Haines, AK 99827 Phone: 907-314-0808 | |
Mrs. Brianna Gibbs Cooper, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-766-2101 | |
Matthew William Barkofske, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-766-2101 | |
Four Ravens Occupational Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-314-0808 Fax: 907-766-2104 | |
Robert Bowers, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-766-2101 Fax: 907-766-2104 | |
Four Ravens Occupational Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 69 Beach Road, Haines, AK 99827 Phone: 907-766-2101 Fax: 907-766-2104 |