Jessica Lynn Deserres, OTR | |
886 Madison Ave, Union, NJ 07083-6729 | |
(908) 943-5472 | |
Not Available |
Full Name | Jessica Lynn Deserres |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 886 Madison Ave, Union, 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 |
---|---|---|---|
1427650597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00957000 (New Jersey) | Primary |
Provider Name | Prestige Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750032553 PECOS PAC ID: 3375936495 Enrollment ID: O20220211001499 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lynn Deserres, OTR 886 Madison Ave, Union, NJ 07083-6729 Ph: (908) 943-5472 | Jessica Lynn Deserres, OTR 886 Madison Ave, Union, NJ 07083-6729 Ph: (908) 943-5472 |
Mr. Rosselle Poblete Gurango, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1355 Oakland Ave, Union, NJ 07083 Phone: 908-686-2932 | |
Ms. Majorie Mellon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 Huguenot Ave, Union, NJ 07083 Phone: 973-760-7489 | |
Nia Whyte, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1225 Stuyvesant Ave, Union, NJ 07083 Phone: 908-405-3702 | |
Erica Patusco, O.T.R. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2182 Morris Ave, Union, NJ 07083 Phone: 908-851-2666 Fax: 908-851-2299 | |
Henry Gallardo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2075 Balmoral Ave, Union, NJ 07083 Phone: 201-993-8118 | |
Dr. Daryll Adrian Ang Henson, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1314 Liberty Ave, Union, NJ 07083 Phone: 201-606-3681 | |
Aizeyosabo F Obamedo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 961 Arnet Ave, Union, NJ 07083 Phone: 908-265-2911 |