| Mr Al Groholski, MOT | |
|
50 Fairway Dr, Debary, FL 32713-2323 | |
| (561) 818-0691 | |
| (561) 790-1918 |
| Full Name | Mr Al Groholski |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 28 Years |
| Location | 50 Fairway Dr, Debary, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386676708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 8550 (Florida) | Secondary |
| 225X00000X | Occupational Therapist | OT8550 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sobe Innovative Rehabilitation Pllc | 4789994336 | 123 |
| Provider Name | Sobe Innovative Rehabilitation Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Al Groholski, MOT 50 Fairway Dr, Debary, FL 32713-2323 Ph: (561) 818-0691 | Mr Al Groholski, MOT 50 Fairway Dr, Debary, FL 32713-2323 Ph: (561) 818-0691 |
Wanda Kay Vasquez, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 60 N Charles Richard Beall Blvd, Debary, FL 32713 Phone: 386-668-4426 | |
Symone Melissa Swaby, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 Quail Lake Dr, Debary, FL 32713 Phone: 516-368-2604 | |
Elissa Leigh Howe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 N Highway 17 92, Debary, FL 32713 Phone: 386-668-4426 | |
Jaclyn Batts, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 60 N Charles Richard Beall Blvd, Debary, FL 32713 Phone: 386-668-4426 | |
Mrs. Jennifer Brow, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Fox Ridge Ct Ste G, Debary, FL 32713 Phone: 386-785-6778 Fax: 386-220-8710 | |
Mrs. Sheri V Wilson, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Pleasant Hill Dr, Debary, FL 32713 Phone: 407-417-6031 |