| Stacey Gaudenzi, | |
|
131 Kent Rd, New Milford, CT 06776-3485 | |
| (860) 350-3330 | |
| Not Available |
| Full Name | Stacey Gaudenzi |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 22 Years |
| Location | 131 Kent Rd, New Milford, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699880955 | NPI | - | NPPES |
| 003057 | Other | CT | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Restore Mobile Therapy Llc | 3072939669 | 10 |
| Provider Name | Restore Mobile Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205451663 PECOS PAC ID: 3072939669 Enrollment ID: O20200813000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Gaudenzi, 158 Aspetuck Vlg, New Milford, CT 06776-5624 Ph: () - | Stacey Gaudenzi, 131 Kent Rd, New Milford, CT 06776-3485 Ph: (860) 350-3330 |
Mr. Deborah S Williams, OTC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Sun Pond Ln, New Milford, CT 06776 Phone: 860-945-3012 Fax: 860-945-9854 | |
Emily Rose Bender, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 131 Kent Rd, New Milford, CT 06776 Phone: 860-350-3330 | |
Karen Garren, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Kent Rd, New Milford, CT 06776 Phone: 860-350-3330 | |
Kara Anne Leake, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Kent Rd, New Milford, CT 06776 Phone: 860-350-3330 Fax: 860-350-3520 | |
Kathleen Boyce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Park Ln E, New Milford, CT 06776 Phone: 860-355-0971 |