Dr Ashley N Fuentes, OTD, OTR/L | |
201 Rankin St, Elizabeth, NJ 07206-1031 | |
(908) 374-9475 | |
Not Available |
Full Name | Dr Ashley N Fuentes |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 201 Rankin St, Elizabeth, 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 |
---|---|---|---|
1205540929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR01098400 (New Jersey) | Primary |
Provider Name | Therastart Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063849867 PECOS PAC ID: 7719115831 Enrollment ID: O20140118000283 |
Mailing Address | Practice Location Address |
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Dr Ashley N Fuentes, OTD, OTR/L 201 Rankin St, Elizabeth, NJ 07206-1031 Ph: (908) 374-9475 | Dr Ashley N Fuentes, OTD, OTR/L 201 Rankin St, Elizabeth, NJ 07206-1031 Ph: (908) 374-9475 |
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