| Stephanie Loveland Grant, OT | |
|
3978 Pointe N, Gainesville, GA 30506-5385 | |
| (678) 696-1172 | |
| Not Available |
| Full Name | Stephanie Loveland Grant |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3978 Pointe N, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497715627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT001427 (Georgia) | Primary |
| Provider Name | Impulse Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659008829 PECOS PAC ID: 1355726563 Enrollment ID: O20220923000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Loveland Grant, OT 3978 Pointe N, Gainesville, GA 30506-5385 Ph: (678) 696-1172 | Stephanie Loveland Grant, OT 3978 Pointe N, Gainesville, GA 30506-5385 Ph: (678) 696-1172 |
Krisi April Probert, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501 Phone: 770-539-9001 Fax: 770-539-9217 | |
Tina Marie Black, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4502 Summer Gate Ct, Gainesville, GA 30506 Phone: 770-378-5986 Fax: 770-536-0346 | |
Christa Perry Tullis, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 100 Spring St, Suite B, Gainesville, GA 30501 Phone: 770-532-5721 Fax: 770-532-5929 | |
Shannon Randall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2030 Windward Ln, Gainesville, GA 30501 Phone: 770-535-8181 | |
Brianna Lynn Brown, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 428 S Enota Dr Ne, Gainesville, GA 30501 Phone: 678-865-4947 | |
Mr. Myron Westley Green, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 955 Interstate Ridge Dr Unit E, Gainesville, GA 30501 Phone: 678-936-8695 | |
Charlie Turk Chapman, OTR/L, CPAM Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Murphy Blvd, Gainesville, GA 30504 Phone: 770-535-8372 |