| Triple E Ot, Inc | |
|
450 Lakeview Dr, Defuniak Springs, FL 32433-4058 | |
| (850) 401-1227 | |
| (850) 892-6994 |
| Full Name | Triple E Ot, Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 450 Lakeview Dr, Defuniak Springs, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720395759 | NPI | - | NPPES |
| 000124300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT5156 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Triple E Ot, Inc 4100 S Ferdon Blvd, Suite C-1, Crestview, FL 32536-5252 Ph: (850) 682-8388 | Triple E Ot, Inc 450 Lakeview Dr, Defuniak Springs, FL 32433-4058 Ph: (850) 401-1227 |
Mrs. Kim Evelyn Hydle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Lakeview Dr, Defuniak Springs, FL 32433 Phone: 850-892-9703 | |
Great Gains Behavioral Solutions Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 State Highway 83, Defuniak Springs, FL 32433 Phone: 850-585-9189 Fax: 850-951-0898 |