Stephanie Gonyea-george, OTR/L | |
96 East Ave Apt 7, Atlantic Highlands, NJ 07716-1688 | |
(607) 279-1102 | |
Not Available |
Full Name | Stephanie Gonyea-george |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 96 East Ave Apt 7, Atlantic Highlands, 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 |
---|---|---|---|
1417666025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 46TR00942300 (New Jersey) | Primary |
Provider Name | Airport Plaza Spine & Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881053197 PECOS PAC ID: 3173801982 Enrollment ID: O20161031000306 |
Mailing Address | Practice Location Address |
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Stephanie Gonyea-george, OTR/L 96 East Ave Apt 7, Atlantic Highlands, NJ 07716-1688 Ph: (607) 279-1102 | Stephanie Gonyea-george, OTR/L 96 East Ave Apt 7, Atlantic Highlands, NJ 07716-1688 Ph: (607) 279-1102 |
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