Lisa Digiondomenico Agatone, OT | |
1515 Dekalb Pike, Suite 100, Blue Bell, PA 19422-3367 | |
(610) 277-1990 | |
(610) 277-2007 |
Full Name | Lisa Digiondomenico Agatone |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1515 Dekalb Pike, Blue Bell, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033429477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OC006523L (Pennsylvania) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20140903000068 |
Mailing Address | Practice Location Address |
---|---|
Lisa Digiondomenico Agatone, OT 1515 Dekalb Pike, Suite 100, Blue Bell, PA 19422-3367 Ph: (610) 277-1990 | Lisa Digiondomenico Agatone, OT 1515 Dekalb Pike, Suite 100, Blue Bell, PA 19422-3367 Ph: (610) 277-1990 |
Mrs. Joanne Marie Lynch, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Dekalb Pike, Blue Bell, PA 19422 Phone: 610-277-1990 | |
Montgomery County Hand Center Inc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Dekalb Pike, Suite 100, Blue Bell, PA 19422 Phone: 610-277-1990 Fax: 610-277-2007 | |
Robert Derosier, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1515 Dekalb Pike Ste 100, Blue Bell, PA 19422 Phone: 610-277-1990 | |
Rachel Burke Larson, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 510 Township Line Rd Ste 110, Blue Bell, PA 19422 Phone: 800-321-9999 | |
Amber Mallonee, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1777 Sentry Pkwy W Ste 203, Blue Bell, PA 19422 Phone: 610-227-1100 Fax: 215-646-1900 | |
Louis J Pitonyak Jr., O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Dekalb Pike, Suite 100, Blue Bell, PA 19422 Phone: 610-277-1990 Fax: 610-277-2007 |