| Jessica Clark, | |
|
7 Cedar Grove Ln Ste 39, Somerset, NJ 08873-1331 | |
| (732) 469-5680 | |
| (732) 868-1422 |
| Full Name | Jessica Clark |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 7 Cedar Grove Ln Ste 39, Somerset, 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 |
|---|---|---|---|
| 1841921038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR01048500 (New Jersey) | Primary |
| Provider Name | Professional Occupational & Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215487772 PECOS PAC ID: 3779873401 Enrollment ID: O20170118000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Clark, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859 | Jessica Clark, 7 Cedar Grove Ln Ste 39, Somerset, NJ 08873-1331 Ph: (732) 469-5680 |
Pauline Nicole Gasparro, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Cedar Grove Ln Ste 39, Somerset, NJ 08873 Phone: 732-469-5680 | |
Jenna Halder, JENNA HALDER M.S. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 Demott Ln, Somerset, NJ 08873 Phone: 732-873-2000 | |
Erika Lorena Quinto, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Barclay Ct, Somerset, NJ 08873 Phone: 908-242-7514 | |
Vika Keonne Roque Tiamzon, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1527 State Route 27 Ste 1100, Somerset, NJ 08873 Phone: 732-545-7474 | |
Yiwei Xie, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1165 Easton Ave, Somerset, NJ 08873 Phone: 732-246-4100 | |
Shaminder Jassil, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7 Cedar Grove Ln Ste 39, Somerset, NJ 08873 Phone: 732-490-6383 | |
Gregory Ryan Roth, OTR, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Worlds Fair Dr, Somerset, NJ 08873 Phone: 732-537-0909 Fax: 732-564-9032 |