| Lauren Ashley Klecko, OTR/L | |
|
3349 Hwy 138 Ste A, Wall Township, NJ 07719-9671 | |
| (732) 280-6050 | |
| Not Available |
| Full Name | Lauren Ashley Klecko |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3349 Hwy 138 Ste A, Wall Township, 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 |
|---|---|---|---|
| 1699281717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR00804500 (New Jersey) | Primary |
| Provider Name | Active Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982761391 PECOS PAC ID: 8527232412 Enrollment ID: O20111110000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Ashley Klecko, OTR/L 619 Bancroft Rd, Brick, NJ 08724-4604 Ph: (908) 892-8930 | Lauren Ashley Klecko, OTR/L 3349 Hwy 138 Ste A, Wall Township, NJ 07719-9671 Ph: (732) 280-6050 |
Mrs. Colleen Marie Leonard, OTLRMSHS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Azure Dr, Wall Township, NJ 07753 Phone: 732-687-5687 | |
Stefanie Warner Lukins, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Highway 138 East, Building B Suite A, Abilities In Action, Wall Township, NJ 08724 Phone: 732-280-6050 | |
Kelly Anne Cusick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Highway 138 East, Building B, Suite A, Wall Township, NJ 07719 Phone: 732-280-6050 | |
Ms. Doreen Ann Riegal, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Route 138 Bldg Suitea, Wall Township, NJ 07719 Phone: 732-280-6050 | |
Samantha Lynn Ciesmelewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Route 138 Ste A, Wall Township, NJ 07719 Phone: 732-280-6050 Fax: 732-280-6056 | |
Vasanti Sharad Gadgil, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2021 State Route 35, Rehab Dept, Wall Township, NJ 07719 Phone: 732-282-1910 Fax: 732-282-1914 | |
Mrs. Leslie Old, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Hwy 138, Bldg. B. Sutie A., Wall Township, NJ 07719 Phone: 732-280-6050 Fax: 732-280-6056 |