Odessa E Roque, OTR/L | |
15 Frowein Rd, Center Moriches, NY 11934-1608 | |
(631) 617-6265 | |
Not Available |
Full Name | Odessa E Roque |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 15 Frowein Rd, Center Moriches, 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 |
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1659080471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 027302 (New York) | Primary |
Provider Name | Professional Occupational & Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
Mailing Address | Practice Location Address |
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Odessa E Roque, OTR/L 489 French Ave, North Babylon, NY 11703-2105 Ph: () - | Odessa E Roque, OTR/L 15 Frowein Rd, Center Moriches, NY 11934-1608 Ph: (631) 617-6265 |
Tara Arlene Davison, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Red Bridge Rd, Center Moriches, NY 11934 Phone: 631-714-5699 | |
Alexander Pomposello, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Trainor Ave, Center Moriches, NY 11934 Phone: 631-905-7049 | |
Mrs. Robin Grande, O.T Occupational Therapist Medicare: Medicare Enrolled Practice Location: 116 Holiday Blvd, Center Moriches, NY 11934 Phone: 631-878-6928 | |
Mrs. Dawn Marie Dunn, MSOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Barberry Ln, Center Moriches, NY 11934 Phone: 516-901-8490 |