| Mrs Rebecca Lynn Caudrillier, MS, OTR/L | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-6033 | |
| (607) 763-6853 |
| Full Name | Mrs Rebecca Lynn Caudrillier |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 33-57 Harrison St, Johnson City, 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 |
|---|---|---|---|
| 1083997951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 015901-1 (New York) | Primary |
| Provider Name | Sports Med Denton Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225073521 PECOS PAC ID: 9638144439 Enrollment ID: O20050404000131 |
| Provider Name | Meredith S. Tittle, P.t., Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245553395 PECOS PAC ID: 9830491596 Enrollment ID: O20170321001966 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rebecca Lynn Caudrillier, MS, OTR/L 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6033 | Mrs Rebecca Lynn Caudrillier, MS, OTR/L 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6033 |
Zachary Ronald Secor, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6000 | |
Samantha Louise Eckhardt, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 174 Oakdale Rd, Johnson City, NY 13790 Phone: 607-729-0044 | |
Mrs. Deborah Elizabeth Orlando, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Broad St, Johnson City, NY 13790 Phone: 607-798-7117 | |
Tammi Holtslander Camp, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Cherry St, Ot Pt Department, Johnson City, NY 13790 Phone: 607-723-8313 | |
Colleen Magacs, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 286 Deyo Hill Rd, Johnson City, NY 13790 Phone: 607-798-7818 | |
Cathy J Forde, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6033 |