Kelly Destefano, | |
61 Maplewood Ave, Cranbury, NJ 08512-3237 | |
(609) 395-3445 | |
Not Available |
Full Name | Kelly Destefano |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 61 Maplewood Ave, Cranbury, 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 |
---|---|---|---|
1598263931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00635400 (New Jersey) | 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 |
Provider Name | Homeside Rehab Pt Ot Slp Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023258431 PECOS PAC ID: 7810045309 Enrollment ID: O20150506000300 |
Mailing Address | Practice Location Address |
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Kelly Destefano, 240 Evergreen Ave, Hamilton, NJ 08619-1808 Ph: () - | Kelly Destefano, 61 Maplewood Ave, Cranbury, NJ 08512-3237 Ph: (609) 395-3445 |
Jessica Siegel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Ave, Cranbury, NJ 08512 Phone: 609-395-3445 | |
Mrs. Lora Joy Sofield, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Ave, Cranbury, NJ 08512 Phone: 609-395-0641 | |
Geeta Subramaniam, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Ave, Cranbury, NJ 08512 Phone: 609-395-3445 | |
Ms. Bijal Mahendra Parikh, MOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Avenue, Elms Of Cranbury, Cranbury, NJ 08512 Phone: 609-395-0641 Fax: 609-395-8200 | |
Bharti Gupta, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Ave, Elms Of Cranbury, Cranbury, NJ 08512 Phone: 609-395-3445 Fax: 609-655-2052 | |
Mrs. Shilpa P Desai, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 61 Maplewood Ave, Cranbury, NJ 08512 Phone: 609-395-0641 |