| Taylor Nicole Mcintosh, OTR/L | |
|
2257 W Washington St, Broken Arrow, OK 74012-6703 | |
| (918) 994-7799 | |
| Not Available |
| Full Name | Taylor Nicole Mcintosh |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 2257 W Washington St, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174139323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 5468 (Oklahoma) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598332173 PECOS PAC ID: 2163339722 Enrollment ID: O20211026000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Nicole Mcintosh, OTR/L 3857 Southridge Cir Apt 4, Tahlequah, OK 74464-7957 Ph: (580) 212-6012 | Taylor Nicole Mcintosh, OTR/L 2257 W Washington St, Broken Arrow, OK 74012-6703 Ph: (918) 994-7799 |
Mr. Minh The Huynh, OTL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-451-5143 | |
Ms. Maryanne E. Damico, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2608 W Kenosha St, Suite 430, Broken Arrow, OK 74012 Phone: 918-259-3714 | |
Mrs. Carla Cathleen Lott, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2221 W Detroit St, Broken Arrow, OK 74012 Phone: 918-615-6492 | |
April Meyer, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1306 E College St, Broken Arrow, OK 74012 Phone: 918-251-3200 | |
Outcomes, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 S 283rd East Ave, Broken Arrow, OK 74014 Phone: 918-408-6943 Fax: 918-357-9277 | |
Ashlee Potter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2257 W Washington St, Broken Arrow, OK 74012 Phone: 918-994-7799 | |
Alexis Langston, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 W San Antonio St, Broken Arrow, OK 74012 Phone: 918-410-8740 |