Abigail Stark, OTR/L | |
375 Faunce Corner Rd Ste C, North Dartmouth, MA 02747-1258 | |
(774) 425-7906 | |
Not Available |
Full Name | Abigail Stark |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 375 Faunce Corner Rd Ste C, North Dartmouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851116248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTL15279 (Massachusetts) | Primary |
Provider Name | Bay State Physical Therapy Of Randolph Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
Mailing Address | Practice Location Address |
---|---|
Abigail Stark, OTR/L 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 807-6138 | Abigail Stark, OTR/L 375 Faunce Corner Rd Ste C, North Dartmouth, MA 02747-1258 Ph: (774) 425-7906 |
Lisa Christine Riley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-984-7226 Fax: 508-984-7212 | |
Kimberly Roberts, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-984-7226 Fax: 508-984-7212 | |
Joy H Ladd, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 536 Hawthorn St, North Dartmouth, MA 02747 Phone: 508-984-4896 Fax: 508-984-4899 |