Agewell Rehab Services Pllc | |
1111 Stratford Ave Apt 319, Stratford, CT 06615-6379 | |
(786) 266-4504 | |
Not Available |
Full Name | Agewell Rehab Services Pllc |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 1111 Stratford Ave Apt 319, Stratford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033989116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Angelina Pallam |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447905526 PECOS PAC ID: 5193119204 Enrollment ID: I20220609001465 |
Provider Name | Claudia Garcia |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336689231 PECOS PAC ID: 1557728987 Enrollment ID: I20230531000285 |
Provider Name | Perseus Corre Fernandez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558119719 PECOS PAC ID: 3779925821 Enrollment ID: I20240521003926 |
Provider Name | Mary Ann Adornato |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245719269 PECOS PAC ID: 2466703269 Enrollment ID: I20240607002759 |
Mailing Address | Practice Location Address |
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Agewell Rehab Services Pllc 1111 Stratford Ave Apt 319, Stratford, CT 06615-6379 Ph: (786) 266-4504 | Agewell Rehab Services Pllc 1111 Stratford Ave Apt 319, Stratford, CT 06615-6379 Ph: (786) 266-4504 |
Christina Konopka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 88 Ryders Ln Ste 101, Stratford, CT 06614 Phone: 203-375-1101 | |
Kristi Alexis Pena, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 452 Laughlin Rd, Stratford, CT 06614 Phone: 203-727-1659 | |
Melissa Canty, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3272 Main St, Stratford, CT 06614 Phone: 475-210-7550 | |
Agewell Rehab Services, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Stratford Ave Apt 319, Stratford, CT 06615 Phone: 786-266-4504 | |
Heather Nadeau, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Fotch St, Stratford, CT 06615 Phone: 800-906-5088 | |
Claudia Garcia, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1111 Stratford Ave Apt 319, Stratford, CT 06615 Phone: 786-266-4504 | |
Janya Dias, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 381 Hilltop Dr, Stratford, CT 06614 Phone: 203-434-5539 |