| Stephanie A Peck, MOT, OTR/L | |
|
109 Knotbreak Rd, Salem, VA 24153-5404 | |
| (540) 772-8022 | |
| (540) 772-0294 |
| Full Name | Stephanie A Peck |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 109 Knotbreak Rd, Salem, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962915066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119007502 (Virginia) | Primary |
| Provider Name | Lucas Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285774745 PECOS PAC ID: 8123087970 Enrollment ID: O20041007000072 |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20120830000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie A Peck, MOT, OTR/L 1327 Grandin Rd Sw # 243, Roanoke, VA 24015-2349 Ph: (202) 744-1185 | Stephanie A Peck, MOT, OTR/L 109 Knotbreak Rd, Salem, VA 24153-5404 Ph: (540) 772-8022 |
Mrs. Christine Anne Mangone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1038 | |
Autumn Hiduskey, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mrs. Nicole Frey Bowen, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 S College Ave, Salem, VA 24153 Phone: 540-375-2860 | |
Mark Edward Realmuto, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-5080 | |
Madison Branson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 844 Red Ln, Salem, VA 24153 Phone: 540-525-1866 | |
Emilie Thompson Ashworth, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3737 W Main St, Salem, VA 24153 Phone: 540-380-6520 | |
Christi L Nicely, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 Ridgewood Dr, Salem, VA 24153 Phone: 540-378-4120 Fax: 540-378-4121 |