| Mr Robert William Burns Iv, OTR | |
|
40 Court St, Westfield, MA 01085-3669 | |
| (413) 562-0001 | |
| Not Available |
| Full Name | Mr Robert William Burns Iv |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 40 Court St, Westfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184386013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 12218 (Massachusetts) | Primary |
| Provider Name | Revitalize Rehab Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801515820 PECOS PAC ID: 9537536966 Enrollment ID: O20221027002278 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert William Burns Iv, OTR 29 W School St, Westfield, MA 01085-2867 Ph: (141) 328-5658 | Mr Robert William Burns Iv, OTR 40 Court St, Westfield, MA 01085-3669 Ph: (413) 562-0001 |
Danielle Ann Antico, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Elm St, Westfield, MA 01085 Phone: 413-568-3942 Fax: 413-568-5983 | |
Leanne Elizabeth Sullivan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 W Silver St, Westfield, MA 01085 Phone: 413-571-0151 | |
Susan Rose Burritt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Elm St, Westfield, MA 01085 Phone: 413-568-3942 Fax: 413-568-5983 | |
Melissa Noel Stern, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Elm St, Westfield, MA 01085 Phone: 413-568-3942 Fax: 413-568-5983 | |
Ms. Lauren Corash, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Root Rd, Westfield, MA 01085 Phone: 413-568-5298 | |
Kelly Moore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Root Rd, Suite #2, Westfield, MA 01085 Phone: 413-568-3942 Fax: 413-568-5983 |