Stacy Ray Eubanks, | |
2555 E Highway 316, Citra, FL 32113-4570 | |
(352) 817-0012 | |
Not Available |
Full Name | Stacy Ray Eubanks |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2555 E Highway 316, Citra, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902314248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT18791 (Florida) | Primary |
Provider Name | Habit Project Physical And Occupational Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1922603117 PECOS PAC ID: 2567876949 Enrollment ID: O20210126001753 |
Mailing Address | Practice Location Address |
---|---|
Stacy Ray Eubanks, 2555 E Highway 316, Citra, FL 32113-4570 Ph: (352) 817-0012 | Stacy Ray Eubanks, 2555 E Highway 316, Citra, FL 32113-4570 Ph: (352) 817-0012 |
Megan R Feagle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7927 E Highway 318, Citra, FL 32113 Phone: 850-728-8164 | |
Therapy On Hooves Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4246 W Highway 318, Citra, FL 32113 Phone: 240-207-1105 | |
Cara Rebecca Gilison, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4246 W Highway 318, Citra, FL 32113 Phone: 904-540-5853 |