Kelly Brigley, | |
24 Moos Ln, Bergenfield, NJ 07621-1218 | |
(201) 937-4523 | |
Not Available |
Full Name | Kelly Brigley |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 24 Moos Ln, Bergenfield, 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 |
---|---|---|---|
1659996338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Fox Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554 |
Mailing Address | Practice Location Address |
---|---|
Kelly Brigley, 24 Moos Ln, Bergenfield, NJ 07621-1218 Ph: (201) 937-4523 | Kelly Brigley, 24 Moos Ln, Bergenfield, NJ 07621-1218 Ph: (201) 937-4523 |
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