Mary Lou Gray, OTR/L | |
200 2nd Ave, Kingston, PA 18704-5722 | |
(570) 288-9315 | |
Not Available |
Full Name | Mary Lou Gray |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 200 2nd Ave, Kingston, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013168277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OC002868L (Pennsylvania) | Primary |
Provider Name | Associated Family Home Care Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609871409 PECOS PAC ID: 6103975107 Enrollment ID: O20231211003222 |
Mailing Address | Practice Location Address |
---|---|
Mary Lou Gray, OTR/L 200 2nd Ave, Kingston, PA 18704-5722 Ph: (570) 288-9315 | Mary Lou Gray, OTR/L 200 2nd Ave, Kingston, PA 18704-5722 Ph: (570) 288-9315 |
Barbara Sieminski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 368 Tioga Ave, Kingston, PA 18704 Phone: 570-287-9681 | |
Ashley Taylor Swanson, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 702 3rd Ave, Kingston, PA 18704 Phone: 570-285-5308 | |
Peter Nguyen, MS ORT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave, Kingston, PA 18704 Phone: 570-288-9315 | |
Mrs. Lauren Ann Janoski, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 256 Schuyler Ave, Kingston, PA 18704 Phone: 570-283-5917 Fax: 570-763-0067 | |
Mrs. Tracy Lee Manzoni, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-5496 | |
Jennifer Casal, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Pierce St Ste 302, Kingston, PA 18704 Phone: 570-574-8298 Fax: 570-718-0202 |