Katrina Iledan, | |
85 Godwin Ave, Midland Park, NJ 07432-1970 | |
(201) 639-8870 | |
Not Available |
Full Name | Katrina Iledan |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 85 Godwin Ave, Midland Park, 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 |
---|---|---|---|
1063197374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR01128700 (New Jersey) | Primary |
Provider Name | United Sports Care & Physical Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1972881233 PECOS PAC ID: 9436324886 Enrollment ID: O20111213000548 |
Mailing Address | Practice Location Address |
---|---|
Katrina Iledan, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Katrina Iledan, 85 Godwin Ave, Midland Park, NJ 07432-1970 Ph: (201) 639-8870 |
Sprouts Occupational Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Crest Dr, Midland Park, NJ 07432 Phone: 201-280-1739 | |
Mrs. Justin Gredell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Central Ave, Midland Park, NJ 07432 Phone: 201-819-1081 Fax: 201-221-7844 | |
Kimberly Susan Aiello, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Crest Dr, Midland Park, NJ 07432 Phone: 201-410-1756 | |
Mrs. Robyn Elise Brown, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 Fax: 201-639-8874 | |
Ms. Andrea Rose Delmonico, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Godwin Ave, Suite 120, Midland Park, NJ 07432 Phone: 201-447-0303 | |
Isabella Corino, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 |