Alex Crandall, | |
899 Mountain Ave Ste 1a, Springfield, NJ 07081-3403 | |
(973) 218-6394 | |
Not Available |
Full Name | Alex Crandall |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 899 Mountain Ave Ste 1a, Springfield, 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 |
---|---|---|---|
1033711825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00839400 (New Jersey) | Primary |
Provider Name | Trinitas Physicians Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205189941 PECOS PAC ID: 6709002850 Enrollment ID: O20140725000027 |
Mailing Address | Practice Location Address |
---|---|
Alex Crandall, 899 Mountain Ave Ste 1a, Springfield, NJ 07081-3403 Ph: (973) 218-6394 | Alex Crandall, 899 Mountain Ave Ste 1a, Springfield, NJ 07081-3403 Ph: (973) 218-6394 |
Grace Annmarie Petinakis, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 899 Mountain Ave Ste 1a, Springfield, NJ 07081 Phone: 973-218-6394 | |
Ejiroghene Okopie, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 355 Us Highway 22 E Ste D, Springfield, NJ 07081 Phone: 908-325-3000 | |
Ann R Cutalo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 899 Mountain Ave, Springfield, NJ 07081 Phone: 973-218-6394 | |
Marguerite Gavin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Springfield Ave, Apt. 1012, Springfield, NJ 07081 Phone: 732-770-1766 | |
Erica Pirak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Mountain Ave, Springfield, NJ 07081 Phone: 973-634-7394 | |
Mikhail Abdurakhmanov, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 Madison Ter, Springfield, NJ 07081 Phone: 973-912-0639 |