Leanne Licitra, | |
100 Hoboken Ave, Jersey City, NJ 07310-1028 | |
(973) 897-9397 | |
Not Available |
Full Name | Leanne Licitra |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 100 Hoboken Ave, Jersey City, 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 |
---|---|---|---|
1134837685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Mobile Therapy Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1326495615 PECOS PAC ID: 6305130840 Enrollment ID: O20160808000021 |
Mailing Address | Practice Location Address |
---|---|
Leanne Licitra, 26 Mandeville Ave, Pequannock, NJ 07440-1538 Ph: (973) 897-9397 | Leanne Licitra, 100 Hoboken Ave, Jersey City, NJ 07310-1028 Ph: (973) 897-9397 |
Julie Nicholson, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 361 Montgomery St, Jersey City, NJ 07302 Phone: 201-932-2656 Fax: 201-932-2656 | |
Miss Christina E Roberts, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Nardone Pl, Jersey City, NJ 07306 Phone: 201-536-0005 | |
Maynard Milestones. Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Fairview Ave Apt 52, Jersey City, NJ 07304 Phone: 201-898-0188 | |
Rona Mae Baluyut, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 Newark Ave, Jersey City, NJ 07302 Phone: 201-324-1700 | |
Mrs. Latrenda Charde Zabaleta, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 568 Communipaw Ave, Jersey City, NJ 07304 Phone: 201-309-0198 | |
Mrs. Barbara Golej Figura, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Nardone Pl, Jersey City, NJ 07306 Phone: 201-792-3840 Fax: 201-792-7948 | |
Marianne Capili, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Journal Square Plz # 500, Jersey City, NJ 07306 Phone: 877-576-4681 |