| Jennifer Pung, OTR/L | |
|
619 Northwest Ave, Tallmadge, OH 44278-1203 | |
| (234) 274-1888 | |
| Not Available |
| Full Name | Jennifer Pung |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 619 Northwest Ave, Tallmadge, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588230973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 011488 (Ohio) | Primary |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20160728001716 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Pung, OTR/L 114 Hemlock Dr, Cuyahoga Fls, OH 44223-1235 Ph: (330) 858-7043 | Jennifer Pung, OTR/L 619 Northwest Ave, Tallmadge, OH 44278-1203 Ph: (234) 274-1888 |
Ruth Mcgough, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Northwest Ave, Ste. 104, Tallmadge, OH 44278 Phone: 330-630-1860 Fax: 330-630-3198 | |
Loretta Oliver, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Northwest Ave, Ste. 104, Tallmadge, OH 44278 Phone: 330-630-1860 Fax: 330-630-3198 | |
Wendy Lattime, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Northwest Ave, Ste. 104, Tallmadge, OH 44278 Phone: 330-630-1860 Fax: 330-630-3198 | |
Alison Weimer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Northwest Ave, Ste 104, Tallmadge, OH 44278 Phone: 330-630-1860 Fax: 330-630-3198 | |
Jenifer A Weiss, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Northwest Ave, Ste 104, Tallmadge, OH 44278 Phone: 330-630-1860 Fax: 330-630-3198 | |
Linda Erb, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Northwest Ave, Ste. 104, Tallmadge, OH 44278 Phone: 330-630-1860 Fax: 330-630-3198 | |
Andrea Stadelman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 Senn Dr, Tallmadge, OH 44278 Phone: 330-819-4385 |