| Veronica Wallace-ewing, | |
|
36 Workman Ter, Lincoln, ME 04457-1162 | |
| (207) 794-6025 | |
| Not Available |
| Full Name | Veronica Wallace-ewing |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 36 Workman Ter, Lincoln, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104462639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT3720 (Maine) | Primary |
| Provider Name | Magnolia Outpatient Physical Therapy Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851083919 PECOS PAC ID: 3678929288 Enrollment ID: O20231101003551 |
| Mailing Address | Practice Location Address |
|---|---|
| Veronica Wallace-ewing, 201 Husson Ave Apt R6, Bangor, ME 04401-3241 Ph: (207) 402-4345 | Veronica Wallace-ewing, 36 Workman Ter, Lincoln, ME 04457-1162 Ph: (207) 794-6025 |
Carol-ann M Crocker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Edwards St, Lincoln, ME 04457 Phone: 207-951-0995 | |
Katie Lorraine Krapf, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Workman Ter, Lincoln, ME 04457 Phone: 207-794-6025 | |
Mrs. Robin Holmes Fugazzi, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Ella P. Burr (elementary School) Road, Ella P. Burr Elementary School, Lincoln, ME 04457 Phone: 207-794-3253 | |
Kayla Jayne Stevens, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Ella P Burr St, Lincoln, ME 04457 Phone: 207-794-3014 | |
Kristen Lynn Stanley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 Main Street, Lincoln, ME 04457 Phone: 207-794-7228 Fax: 207-794-4001 | |
Shea Lynn Hewitt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Workman Ter, Lincoln, ME 04457 Phone: 207-794-2173 |