Mrs Amanda Grace Sosunov, MOT, OTR/L | |
2-22 Banta Pl, Fair Lawn, NJ 07410-3058 | |
(732) 784-3578 | |
(732) 924-3147 |
Full Name | Mrs Amanda Grace Sosunov |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2-22 Banta Pl, Fair Lawn, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851961254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 025779 (New York) | Secondary |
225X00000X | Occupational Therapist | 46TR01009900 (New Jersey) | Primary |
Provider Name | Island Rehab Pt Ot Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881047223 PECOS PAC ID: 6204122153 Enrollment ID: O20160901001808 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Grace Sosunov, MOT, OTR/L 2-22 Banta Pl, Fair Lawn, NJ 07410-3058 Ph: () - | Mrs Amanda Grace Sosunov, MOT, OTR/L 2-22 Banta Pl, Fair Lawn, NJ 07410-3058 Ph: (732) 784-3578 |
Mrs. Ariela Borgen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12-15 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 201-797-9522 | |
Performex Physical Therapy And Sports Rehabilitation Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12-28 River Rd, Fair Lawn, NJ 07410 Phone: 201-951-4331 | |
Judith Weinberger, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12-15 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 201-797-9522 | |
Mr. George Mwangi, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 12-45 River Rd # 317, Fair Lawn, NJ 07410 Phone: 862-684-1789 Fax: 201-797-0410 | |
Mrs. Mariela A Arcentales, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12-28 River Rd, Fair Lawn, NJ 07410 Phone: 201-314-3396 | |
Meagan Alyssa Koch, M.S,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11-26 Saddle River Rd Lowr Level, Fair Lawn, NJ 07410 Phone: 201-509-8205 Fax: 201-857-5766 | |
Sabrina Lamorte, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2-22 Banta Pl, Fair Lawn, NJ 07410 Phone: 201-509-8600 |