Randall Depasquale, OTR/L | |
2395 Minton Rd, West Melbourne, FL 32904-6607 | |
(631) 220-0295 | |
Not Available |
Full Name | Randall Depasquale |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2395 Minton Rd, West Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801503552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
Mailing Address | Practice Location Address |
---|---|
Randall Depasquale, OTR/L 785 Boughton Way, West Melbourne, FL 32904-8721 Ph: () - | Randall Depasquale, OTR/L 2395 Minton Rd, West Melbourne, FL 32904-6607 Ph: (631) 220-0295 |
Paige Avchen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2742 Glasbern Cir, West Melbourne, FL 32904 Phone: 321-795-8748 | |
Mrs. Michelle Anne Travis, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7201 Greenboro Dr, West Melbourne, FL 32904 Phone: 321-821-6514 | |
Amy Marie Dray, M.S., O.T.R.-L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2125 W New Haven Ave, West Melbourne, FL 32904 Phone: 321-725-7360 | |
Carol R Naismith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2125 W New Haven Ave, West Melbourne, FL 32904 Phone: 321-725-7360 Fax: 321-729-4333 | |
Kristen Marie Brong, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7201 Greenboro Dr, West Melbourne, FL 32904 Phone: 407-727-0990 | |
Danielle Thibeault, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2129 W New Haven Ave, West Melbourne, FL 32904 Phone: 321-676-8806 | |
Dianna Linda Apostol Puchero, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7201 Greenboro Dr, West Melbourne, FL 32904 Phone: 321-727-0990 |