John P Wall, MSOTR'L | |
2 Bon Aire Ter, Pittston, PA 18640-3202 | |
(570) 983-9173 | |
(570) 655-4706 |
Full Name | John P Wall |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2 Bon Aire Ter, Pittston, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154441137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OC006873L (Pennsylvania) | Primary |
Provider Name | Angel Occupational Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760844153 PECOS PAC ID: 1557669389 Enrollment ID: O20160412001755 |
Mailing Address | Practice Location Address |
---|---|
John P Wall, MSOTR'L 2 Bon Aire Ter, Pittston, PA 18640-3202 Ph: (570) 983-9173 | John P Wall, MSOTR'L 2 Bon Aire Ter, Pittston, PA 18640-3202 Ph: (570) 983-9173 |
Andrea L Bender, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2080 N Township Blvd, Pittston, PA 18640 Phone: 570-883-5700 | |
Melissa Sworin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Roberts Rd, Pittston, PA 18640 Phone: 570-655-2891 | |
Mrs. Sylvia Shemelewski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Roberts Rd, Pittston, PA 18640 Phone: 570-655-2891 | |
Karen Weis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Roberts Rd, Pittston, PA 18640 Phone: 570-655-2891 | |
Miss Lynn Klapat, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 209 Roberts Rd, Pittston, PA 18640 Phone: 570-655-2891 | |
Patrick Thomas Schwartz, MS, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 194 Chapel St, Pittston, PA 18640 Phone: 570-540-9187 |