| Lisa Gianatasio, | |
|
391 Common St, Dedham, MA 02026-4055 | |
| (877) 407-3422 | |
| (877) 407-4329 |
| Full Name | Lisa Gianatasio |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 391 Common St, Dedham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689431421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTL2281 (Massachusetts) | Primary |
| Provider Name | Fox Rehab Ma Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1497174437 PECOS PAC ID: 3678895000 Enrollment ID: O20141213000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Gianatasio, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Lisa Gianatasio, 391 Common St, Dedham, MA 02026-4055 Ph: (877) 407-3422 |
Springtide Child Development, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 95 Eastern Ave Ste 8, Dedham, MA 02026 Phone: 203-998-6678 Fax: 203-987-3099 | |
Erin Mcardle, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 | |
Brianna Deluca, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 | |
Anna Holmblad, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 | |
Abigayle Deane, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 95 Eastern Ave Ste 8, Dedham, MA 02026 Phone: 617-658-3428 | |
Springtide Child Development, Inc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 95 Eastern Ave Ste 12, Dedham, MA 02026 Phone: 203-998-6678 Fax: 203-987-3099 | |
Nicole Anne Sullivan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7000 Great Meadow Rd, Dedham, MA 02026 Phone: 781-234-9500 |