Gina Rose Stafilarakis, | |
55 Cooper St, Agawam, MA 01001-2149 | |
(413) 333-2400 | |
Not Available |
Full Name | Gina Rose Stafilarakis |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 55 Cooper St, Agawam, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841959830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 14308 (Massachusetts) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922473750 PECOS PAC ID: 6507832573 Enrollment ID: O20160121000932 |
Mailing Address | Practice Location Address |
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Gina Rose Stafilarakis, 55 Cooper St, Agawam, MA 01001-2149 Ph: () - | Gina Rose Stafilarakis, 55 Cooper St, Agawam, MA 01001-2149 Ph: (413) 333-2400 |
Bridget Mary Hughes, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 19 Scherpa St Apt B, Agawam, MA 01001 Phone: 401-286-9436 | |
Mrs. Kimberly Lynn Mirer, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Cooper St, Agawam, MA 01001 Phone: 413-786-8000 | |
Donna Ellen Dorans, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 464 Main St, Agawam, MA 01001 Phone: 413-786-8000 | |
Kimberly A Moran, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Cooper St, Agawam, MA 01001 Phone: 413-786-8000 | |
Ms. Sharon Marie Dowd, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 464 Main St, Agawam, MA 01001 Phone: 413-786-8000 | |
Paul Francis Barsalou, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Cooper St, Agawam, MA 01001 Phone: 413-786-8000 | |
Ms. Lori Broderick, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 61 Cooper St, Agawam, MA 01001 Phone: 413-786-8000 Fax: 413-789-2359 |