Frontier Occupational Therapy Pc | |
1005 Village Blvd S, Baldwinsville, NY 13027-3369 | |
(315) 409-9980 | |
Not Available |
Full Name | Frontier Occupational Therapy Pc |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 1005 Village Blvd S, Baldwinsville, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629682646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Lucrecia C Agcaoili-white |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700886918 PECOS PAC ID: 4284054768 Enrollment ID: I20201022000910 |
Mailing Address | Practice Location Address |
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Frontier Occupational Therapy Pc 1005 Village Blvd S, Baldwinsville, NY 13027-3369 Ph: (315) 409-9980 | Frontier Occupational Therapy Pc 1005 Village Blvd S, Baldwinsville, NY 13027-3369 Ph: (315) 409-9980 |
Kassidy Joy Kraus, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8282 Willett Pkwy, Baldwinsville, NY 13027 Phone: 315-857-0800 Fax: 315-857-0803 | |
Kathleen M Malone, MSOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8395 Oswego Rd, Baldwinsville, NY 13027 Phone: 316-450-4898 | |
Mrs. Jeanette Courtney Tyler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2236 Connell Ter, Baldwinsville, NY 13027 Phone: 585-802-2091 | |
Mikayla Gilchrist, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8395 Oswego Rd, Baldwinsville, NY 13027 Phone: 315-450-4898 | |
Samantha Beebe, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7740 Meigs Rd, Baldwinsville, NY 13027 Phone: 315-638-2521 | |
Joan Sharon Ellsworth, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7740 Meigs Rd, Baldwinsville, NY 13027 Phone: 315-638-2521 | |
Kaitlyn Elizabeth Smith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Deerwood Dr, Baldwinsville, NY 13027 Phone: 315-638-6124 |