| Creekside Pediatric Therapy Llc | |
|
114 Goodyear Blvd, Picayune, MS 39466-3307 | |
| (601) 215-3267 | |
| (601) 255-8626 |
| Full Name | Creekside Pediatric Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 114 Goodyear Blvd, Picayune, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093522807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Heidi Dryden Molaison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073145272 PECOS PAC ID: 3577990431 Enrollment ID: I20200305001818 |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Pediatric Therapy Llc 141 N Hill Dr, Carriere, MS 39426-8129 Ph: (601) 215-3267 | Creekside Pediatric Therapy Llc 114 Goodyear Blvd, Picayune, MS 39466-3307 Ph: (601) 215-3267 |
Heidi Dryden Molaison, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 114 Goodyear Blvd, Picayune, MS 39466 Phone: 601-215-3267 Fax: 601-255-8626 | |
Mrs. Rosary Bahman Voorhies, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Woods Rd, Picayune, MS 39466 Phone: 504-717-5972 | |
Casey Lafontaine, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1620 Highway 11 N Ste C, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
Functional Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Main St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-620-4117 | |
Mrs. Stacey S Vollenweider, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Main St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-620-4117 | |
Allison Makayla Wilson, Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 405 Memorial Blvd, Picayune, MS 39466 Phone: 769-242-2636 |