Mr Mark Lancel Trespalacioreal Rayos Del Sol, OTR/L | |
787 Northfield Ave, Rehab Dept, West Orange, NJ 07052 | |
(973) 731-4500 | |
Not Available |
Full Name | Mr Mark Lancel Trespalacioreal Rayos Del Sol |
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Gender | Male |
Speciality | Occupational Therapist - Physical Rehabilitation |
Location | 787 Northfield Ave, West Orange, 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 |
---|---|---|---|
1760983373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00623700 (New Jersey) | Primary |
Provider Name | Excellent Homecare Of Nj Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427602549 PECOS PAC ID: 7214267400 Enrollment ID: O20191002000306 |
Provider Name | Ardent Rehab Of Nj Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558127738 PECOS PAC ID: 4183061799 Enrollment ID: O20240319000970 |
Mailing Address | Practice Location Address |
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Mr Mark Lancel Trespalacioreal Rayos Del Sol, OTR/L 28 Sharon Dr, East Hanover, NJ 07936-3429 Ph: (973) 842-1325 | Mr Mark Lancel Trespalacioreal Rayos Del Sol, OTR/L 787 Northfield Ave, Rehab Dept, West Orange, NJ 07052 Ph: (973) 731-4500 |
Kevin Mukalel, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 563 Northfield Ave, West Orange, NJ 07052 Phone: 973-243-2060 | |
Alyssa Marie Attanasio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Rachel Dionna Portee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1094 Smith Manor Blvd, West Orange, NJ 07052 Phone: 609-845-4776 | |
Julianne Couch, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Mary Cabarle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Syndi Lyn Granger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Katherine Mcguire, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-731-5100 |