Misty Goyal, OTR/L | |
115 Evergreen St Unit 103, West Babylon, NY 11704-7738 | |
(412) 735-3782 | |
Not Available |
Full Name | Misty Goyal |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 115 Evergreen St Unit 103, West Babylon, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558867879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OC017276 (Pennsylvania) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235653403 PECOS PAC ID: 6507832573 Enrollment ID: O20170920000283 |
Mailing Address | Practice Location Address |
---|---|
Misty Goyal, OTR/L 115 Evergreen St Unit 103, West Babylon, NY 11704-7738 Ph: (412) 735-3782 | Misty Goyal, OTR/L 115 Evergreen St Unit 103, West Babylon, NY 11704-7738 Ph: (412) 735-3782 |
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