| Brooke Crannell Dieterich, MOT, OTR/L | |
|
20471 Ga Highway 144, Richmond Hill, GA 31324-5850 | |
| (561) 308-0452 | |
| Not Available |
| Full Name | Brooke Crannell Dieterich |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 22 Years |
| Location | 20471 Ga Highway 144, Richmond Hill, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427427848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT005999 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bcd Rehab And Fitness,llc | 1759690746 | 10 |
| Provider Name | Bcd Rehab & Fitness,llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295117273 PECOS PAC ID: 1759690746 Enrollment ID: O20151013002114 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Crannell Dieterich, MOT, OTR/L 20471 Ga Highway 144, Richmond Hill, GA 31324-5850 Ph: (561) 308-0452 | Brooke Crannell Dieterich, MOT, OTR/L 20471 Ga Highway 144, Richmond Hill, GA 31324-5850 Ph: (561) 308-0452 |
Shaina Summer Kennedy, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10144 Ford Ave, Richmond Hill, GA 31324 Phone: 912-727-2321 Fax: 912-445-0599 | |
Miss Christina Marie Pitts, OTD, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10144 Ford Ave, Richmond Hill, GA 31324 Phone: 912-727-2321 | |
Erin Wilson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2453 Us Highway 17 Ste G, Richmond Hill, GA 31324 Phone: 912-445-5612 | |
Mrs. Teresa Kay Beardsley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Windsong Dr, Richmond Hill, GA 31324 Phone: 912-445-0298 | |
Anne Pugh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2453 Us Highway 17, Richmond Hill, GA 31324 Phone: 386-453-4413 | |
Kaitlyn Leanne Metzger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10144 Ford Ave, Richmond Hill, GA 31324 Phone: 912-727-2321 |