Ezra Lee, | |
4051 Ogletown Rd Ste 104, Newark, DE 19713-3101 | |
(302) 894-1600 | |
(302) 894-1601 |
Full Name | Ezra Lee |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 4051 Ogletown Rd Ste 104, Newark, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497434187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Ati Holdings, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061101000380 |
Mailing Address | Practice Location Address |
---|---|
Ezra Lee, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Ezra Lee, 4051 Ogletown Rd Ste 104, Newark, DE 19713-3101 Ph: (302) 894-1600 |
Mara L Sharp, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Tyre Ave, Newark, DE 19711 Phone: 302-454-2047 Fax: 302-454-5442 | |
Elizabeth B Jones, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Tyre Ave, Newark, DE 19711 Phone: 302-454-2047 Fax: 302-454-5443 | |
Stephanie Vantrease, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 E Chestnut Hill Rd, Newark, DE 19713 Phone: 302-985-3281 | |
Ellen Erin Latronico, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Tyre Ave, Newark, DE 19711 Phone: 302-454-2047 Fax: 302-454-5442 | |
Samantha Fulton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Middleboro Rd, Newark, DE 19711 Phone: 302-992-5574 | |
Warna Warren, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Tyre Ave, Newark, DE 19711 Phone: 302-454-2047 | |
Mrs. Gina Castiglione-jeandell, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 212 Arrowwood Dr, Newark, DE 19713 Phone: 302-379-4329 |