Kathleen Wilson, OTR | |
464 Route 17a, Florida, NY 10921-1014 | |
(845) 651-2251 | |
Not Available |
Full Name | Kathleen Wilson |
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Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 464 Route 17a, Florida, 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 |
---|---|---|---|
1235417098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 002885-1 (New York) | Primary |
Provider Name | Bold Coast Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912575069 PECOS PAC ID: 0941678841 Enrollment ID: O20221128001221 |
Mailing Address | Practice Location Address |
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Kathleen Wilson, OTR 72 Prices Switch Rd, Warwick, NY 10990-2324 Ph: () - | Kathleen Wilson, OTR 464 Route 17a, Florida, NY 10921-1014 Ph: (845) 651-2251 |
Mrs. Cynthia Jane Santo, BASIC MASTERS OT;LIC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 468 Route 17a, Dynamic Center Inc, Florida, NY 10921 Phone: 845-651-2251 Fax: 845-651-2258 | |
Ms. Kelsey Cole, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Industrial Dr, Florida, NY 10921 Phone: 845-651-2535 | |
Vernelle Dorvil, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 464 Route 17a, Florida, NY 10921 Phone: 854-651-2251 |