| Sebastian Luis Collazo, MSOTR/L | |
|
875 Route 73 N Ste B, Marlton, NJ 08053-1273 | |
| (856) 985-3336 | |
| Not Available |
| Full Name | Sebastian Luis Collazo |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 875 Route 73 N Ste B, Marlton, 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 |
|---|---|---|---|
| 1144933110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR00803100 (New Jersey) | Primary |
| Provider Name | Madorno Chiropractic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508100546 PECOS PAC ID: 7911158076 Enrollment ID: O20121119000403 |
| Provider Name | Patient Care Specialty Group Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477213106 PECOS PAC ID: 3678951423 Enrollment ID: O20220607000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Sebastian Luis Collazo, MSOTR/L 465 Park Ave Fl 1, Collingswood, NJ 08108-3076 Ph: (609) 477-3351 | Sebastian Luis Collazo, MSOTR/L 875 Route 73 N Ste B, Marlton, NJ 08053-1273 Ph: (856) 985-3336 |
Mrs. Jessica Eno, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Links Way, Marlton, NJ 08053 Phone: 609-781-3406 | |
Chelsea Duclos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Kingswood Rd, Marlton, NJ 08053 Phone: 856-418-4440 | |
Mrs. Tina Kelly, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Brittany Blvd, Marlton, NJ 08053 Phone: 215-622-6526 | |
Mary's Place Pediatric Rehab, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9004 Lincoln Dr W Ste F, Marlton, NJ 08053 Phone: 856-988-1160 Fax: 856-988-1183 | |
Klg Pediatric Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 Route 73 N Ste C, Marlton, NJ 08053 Phone: 856-872-2067 Fax: 877-275-5941 | |
Elizabeth Joan Lafferty, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 751 Route 73 N Ste 1, Marlton, NJ 08053 Phone: 856-375-2914 |