| Robert Fidalgo, | |
|
166 Valley St, Apt 6m310, Providence, RI 02909-2400 | |
| (646) 243-8916 | |
| Not Available |
| Full Name | Robert Fidalgo |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 166 Valley St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255603155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT01169 (Rhode Island) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Fidalgo, 166 Valley St, Apt 6m310, Providence, RI 02909-2400 Ph: () - | Robert Fidalgo, 166 Valley St, Apt 6m310, Providence, RI 02909-2400 Ph: (646) 243-8916 |
Alexa Sendley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Randall Sq Ste 302, Providence, RI 02904 Phone: 401-443-5252 | |
Caitlin Kelly, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Allison Marie Hourahan, OTR/L, CLT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 668 Eddy St, Providence, RI 02903 Phone: 401-274-1122 | |
Ms. Diana Navarro, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 Blackstone Blvd, Providence, RI 02906 Phone: 401-273-6565 | |
Mrs. Kelly L. Klampert, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Kristen Laurie Bourque, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9165 Fax: 401-533-9105 | |
Miss Christa N Fadden, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8661 |