| Imago Rehab, Inc. | |
|
110 Canal St, 3rd Floor, Lowell, MA 01852 | |
| (617) 671-0789 | |
| (617) 250-8243 |
| Full Name | Imago Rehab, Inc. |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Neurorehabilitation |
| Location | 110 Canal St, Lowell, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205407236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XN1300X | Occupational Therapist - Neurorehabilitation | (* (Not Available)) | Primary |
| Provider Name | Kristin N Nuckols |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003148594 PECOS PAC ID: 8325261787 Enrollment ID: I20220331001297 |
| Provider Name | John Paul Bonadonna |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326791724 PECOS PAC ID: 1759769490 Enrollment ID: I20220608001184 |
| Provider Name | Micaela Galley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831836022 PECOS PAC ID: 4082093489 Enrollment ID: I20220615000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Imago Rehab, Inc. 110 Canal St, 3rd Floor, Lowell, MA 01852-3345 Ph: () - | Imago Rehab, Inc. 110 Canal St, 3rd Floor, Lowell, MA 01852 Ph: (617) 671-0789 |
Kristin Nuckols, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 110 Canal St, 3rd Floor, Lowell, MA 01852 Phone: 617-671-0789 Fax: 617-250-8243 | |
Talia Yocheved Lusterman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1071 Varnum Ave, Lowell, MA 01854 Phone: 978-446-1862 | |
Amanda Elizabeth Alboth-weinburg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Phoenix Ave, Bldg. #2, Lowell, MA 01852 Phone: 978-453-8331 | |
Mr. Russell John Deshaies, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 841 Merrimack St, Lowell, MA 01854 Phone: 978-459-0546 | |
Miss Alexandra Plazas, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Phoenix Ave, Lowell, MA 01852 Phone: 978-453-8331 | |
Mrs. Danielle Leigh Ferrucci, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Princeton Blvd, Lowell, MA 01851 Phone: 210-260-2067 | |
Marnie Peters, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 841 Merrimack St, Lowell, MA 01854 Phone: 978-459-0547 |