| Kathryn Green, OT R/L | |
|
2 Birch Ave, Sound Beach, NY 11789-2534 | |
| (631) 821-1477 | |
| Not Available |
| Full Name | Kathryn Green |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2 Birch Ave, Sound Beach, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003286105 | NPI | - | NPPES |
| 0717371-1 | Other | NY | NYS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0717371-1 (New York) | Primary |
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Green, OT R/L 2 Birch Ave, Sound Beach, NY 11789-2534 Ph: () - | Kathryn Green, OT R/L 2 Birch Ave, Sound Beach, NY 11789-2534 Ph: (631) 821-1477 |
Amanda Crean, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Sea Cliff Dr, Sound Beach, NY 11789 Phone: 631-484-2510 | |
Mr. Tom R Reilly, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 22 Franklin Rd, Sound Beach, NY 11789 Phone: 631-806-6161 | |
Miss Juana Laboy, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Urbans Rd, Sound Beach, NY 11789 Phone: 631-821-3440 | |
Robert Lentini, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 7th St, Sound Beach, NY 11789 Phone: 631-375-8645 |