Mrs Amanda Grace Sosunov, MOT, OTR/L | |
459 Watchung Ave, Watchung, NJ 07069-4945 | |
(908) 274-0988 | |
Not Available |
Full Name | Mrs Amanda Grace Sosunov |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 459 Watchung Ave, Watchung, 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 |
---|---|---|---|
1851961254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR01009900 (New Jersey) | Primary |
225X00000X | Occupational Therapist | 025779 (New York) | Secondary |
Provider Name | Performance Medical Group Of Branchburg Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679075642 PECOS PAC ID: 9234486945 Enrollment ID: O20180725002862 |
Provider Name | Performance Medical Of Watchung Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518477918 PECOS PAC ID: 8628312501 Enrollment ID: O20181204000663 |
Provider Name | Performance Medical Group Of Somerset |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780287326 PECOS PAC ID: 0941612360 Enrollment ID: O20201209000736 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Grace Sosunov, MOT, OTR/L 459 Watchung Ave, Watchung, NJ 07069-4945 Ph: () - | Mrs Amanda Grace Sosunov, MOT, OTR/L 459 Watchung Ave, Watchung, NJ 07069-4945 Ph: (908) 274-0988 |
Stacy Augustyn, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1633 Us Highway 22, Watchung, NJ 07069 Phone: 908-754-3663 | |
Jessica Ruck, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Lakeview Ave, Watchung, NJ 07069 Phone: 908-566-2092 | |
Jessica Marie Knowles, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 680 Mountain Blvd, Watchung, NJ 07069 Phone: 908-754-8180 | |
Ayano Nicole Endo, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 459 Watchung Ave, Watchung, NJ 07069 Phone: 908-274-0988 | |
James Lord Maier, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 459 Watchung Ave, Watchung, NJ 07069 Phone: 908-756-2424 |