| Mrs Lillian Nicole Brewer, OTR/L | |
|
4130 Fox Brush Dr, Evans, GA 30809-4856 | |
| (706) 825-9966 | |
| Not Available |
| Full Name | Mrs Lillian Nicole Brewer |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4130 Fox Brush Dr, Evans, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124267646 | NPI | - | NPPES |
| 225X00000X | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2631 (South Carolina) | Primary |
| Provider Name | Your Aging Therapist Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780263129 PECOS PAC ID: 6709285992 Enrollment ID: O20210701003590 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lillian Nicole Brewer, OTR/L 4130 Fox Brush Dr, Evans, GA 30809-4856 Ph: (706) 825-9966 | Mrs Lillian Nicole Brewer, OTR/L 4130 Fox Brush Dr, Evans, GA 30809-4856 Ph: (706) 825-9966 |
Natalie Alvarez, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Grand Slam Dr Ste D, Evans, GA 30809 Phone: 706-842-3330 | |
Melissa W Fitzgerald, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 446 Northridge Cir, Evans, GA 30809 Phone: 706-210-0282 Fax: 706-210-0282 | |
Annlen Marie Zorn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Grand Slam Dr Ste D, Evans, GA 30809 Phone: 706-842-3330 | |
Melinda L Coleman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Walden Glen Ln, Evans, GA 30809 Phone: 706-495-2528 Fax: 706-364-0351 | |
Sherry Brown, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Grand Slam Dr, Suite D, Evans, GA 30809 Phone: 706-854-8434 Fax: 706-854-8435 | |
Mrs. Nancy Lynn Clements-morgan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5086 Wells Dr, Evans, GA 30809 Phone: 706-650-1344 |