| Amanda M D'agostino, | |
|
1 Main St Ste 505, Eatontown, NJ 07724-3903 | |
| (732) 493-3100 | |
| Not Available |
| Full Name | Amanda M D'agostino |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1 Main St Ste 505, Eatontown, 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 |
|---|---|---|---|
| 1396514675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR01162400 (New Jersey) | Primary |
| Provider Name | Coastal Home Rehabilitation, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316236664 PECOS PAC ID: 0345418646 Enrollment ID: O20110712000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda M D'agostino, 1 Main St Ste 505, Eatontown, NJ 07724-3903 Ph: (732) 493-3100 | Amanda M D'agostino, 1 Main St Ste 505, Eatontown, NJ 07724-3903 Ph: (732) 493-3100 |
Jan Josef Sanchez, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 Fax: 732-876-4967 | |
Mrs. Dana Marie Walsh, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Industrial Way E, Eatontown, NJ 07724 Phone: 732-544-1557 Fax: 732-544-1559 | |
Chelsea M Davis, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 | |
Dr. Abigail Perez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Christopher Way Ste 103, Eatontown, NJ 07724 Phone: 732-867-0237 | |
Erin Louise Berkowsky, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 | |
Ms. Kristin L Ryan-hannaway, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 | |
Therese G Dadezzio, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 Fax: 732-876-4967 |