| Gina Rose Stafilarakis, | |
|
55 Cooper St, Agawam, MA 01001-2149 | |
| (413) 333-2400 | |
| Not Available |
| Full Name | Gina Rose Stafilarakis |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 55 Cooper St, Agawam, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841959830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 14308 (Massachusetts) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922473750 PECOS PAC ID: 6507832573 Enrollment ID: O20160121000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Rose Stafilarakis, 55 Cooper St, Agawam, MA 01001-2149 Ph: () - | Gina Rose Stafilarakis, 55 Cooper St, Agawam, MA 01001-2149 Ph: (413) 333-2400 |
Bridget Mary Hughes, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 19 Scherpa St Apt B, Agawam, MA 01001 Phone: 401-286-9436 | |
Mrs. Kimberly Lynn Mirer, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Cooper St, Agawam, MA 01001 Phone: 413-786-8000 | |
Donna Ellen Dorans, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 464 Main St, Agawam, MA 01001 Phone: 413-786-8000 | |
Kimberly A Moran, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Cooper St, Agawam, MA 01001 Phone: 413-786-8000 | |
Ms. Sharon Marie Dowd, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 464 Main St, Agawam, MA 01001 Phone: 413-786-8000 | |
Paul Francis Barsalou, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Cooper St, Agawam, MA 01001 Phone: 413-786-8000 | |
Ms. Lori Broderick, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 61 Cooper St, Agawam, MA 01001 Phone: 413-786-8000 Fax: 413-789-2359 |