Jordan Fredell, | |
515 Moe Rd, Clifton Park, NY 12065-3821 | |
(845) 665-1507 | |
Not Available |
Full Name | Jordan Fredell |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 515 Moe Rd, Clifton Park, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659846228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 022834 (New York) | Primary |
Provider Name | Florida Mobile Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1306274857 PECOS PAC ID: 3971730615 Enrollment ID: O20131230000541 |
Mailing Address | Practice Location Address |
---|---|
Jordan Fredell, 46a Friars Gate, Halfmoon, NY 12065-4136 Ph: (845) 665-1507 | Jordan Fredell, 515 Moe Rd, Clifton Park, NY 12065-3821 Ph: (845) 665-1507 |
Kristen Connors, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Barclay St, Clifton Park, NY 12065 Phone: 518-491-5261 | |
Mrs. Joann Krefetz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Chelsea Pl, Clifton Park, NY 12065 Phone: 518-881-0600 | |
Miss Elizabeth Mary Esker, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Moe Rd, Clifton Park, NY 12065 Phone: 518-280-4294 Fax: 518-280-4297 | |
Sara Elizabeth Macaluso, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4 Leuconia Ct, Clifton Park, NY 12065 Phone: 518-813-0029 | |
Mrs. Seaneen G Gilleece, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Leslie Ct, Clifton Park, NY 12065 Phone: 518-222-4172 | |
Trina Lynn Haver, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Abele Dr, Clifton Park, NY 12065 Phone: 518-894-9654 | |
Mrs. Amanda Fuschino, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Moe Rd, Clifton Park, NY 12065 Phone: 518-280-4294 Fax: 518-280-4297 |