| Mr Mark Lancel Trespalacioreal Rayos Del Sol, OTR/L | |
|
787 Northfield Ave, Rehab Dept, West Orange, NJ 07052 | |
| (973) 731-4500 | |
| Not Available |
| Full Name | Mr Mark Lancel Trespalacioreal Rayos Del Sol |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 787 Northfield Ave, West Orange, 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 |
|---|---|---|---|
| 1760983373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00623700 (New Jersey) | Primary |
| Provider Name | Excellent Homecare Of Nj Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427602549 PECOS PAC ID: 7214267400 Enrollment ID: O20191002000306 |
| Provider Name | Ardent Rehab Of Nj Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1558127738 PECOS PAC ID: 4183061799 Enrollment ID: O20240319000970 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Lancel Trespalacioreal Rayos Del Sol, OTR/L 28 Sharon Dr, East Hanover, NJ 07936-3429 Ph: (973) 842-1325 | Mr Mark Lancel Trespalacioreal Rayos Del Sol, OTR/L 787 Northfield Ave, Rehab Dept, West Orange, NJ 07052 Ph: (973) 731-4500 |
Kevin Mukalel, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 563 Northfield Ave, West Orange, NJ 07052 Phone: 973-243-2060 | |
Alyssa Marie Attanasio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Rachel Dionna Portee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1094 Smith Manor Blvd, West Orange, NJ 07052 Phone: 609-845-4776 | |
Jami Wilkinson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-731-3600 | |
Julianne Couch, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Mary Cabarle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Syndi Lyn Granger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 |