| Sidra Khan, OTR/L | |
|
333 Us Highway 46 Ste 135, Fairfield, NJ 07004-2427 | |
| (973) 943-4300 | |
| Not Available |
| Full Name | Sidra Khan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 333 Us Highway 46 Ste 135, Fairfield, 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 |
|---|---|---|---|
| 1558055624 | NPI | - | NPPES |
| Provider Name | Mecca Integrated Medical Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427296698 PECOS PAC ID: 5496890691 Enrollment ID: O20100226000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Sidra Khan, OTR/L 48 Celia Ter, Belleville, NJ 07109-1438 Ph: (551) 268-9931 | Sidra Khan, OTR/L 333 Us Highway 46 Ste 135, Fairfield, NJ 07004-2427 Ph: (973) 943-4300 |
Dr. Jenna Van Benschoten, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004 Phone: 973-800-8515 | |
Jaime Zirk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Addison Dr, Fairfield, NJ 07004 Phone: 201-926-4333 | |
Michelle Vazquez-lopez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Us Highway 46 Ste 135, Fairfield, NJ 07004 Phone: 973-943-4300 | |
Brooke Keena, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 155 Passaic Ave, Fairfield, NJ 07004 Phone: 973-800-8515 | |
Victoria Sauser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004 Phone: 973-800-8515 | |
Annelise Malgieri, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004 Phone: 973-800-8515 |