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NPI Code Detail

MEDICARE: MARGARET GIBBONS

MEDICARE:   MARGARET  GIBBONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist181MA

General Provider Information

NPI Number : 1003264128
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET GIBBONS
Provider Business Mailing Address
First Line : 7 HEREWARD RD APT 227
Second Line :
City : NEWTON CENTER
State : MA
Zip : 02459-2416
Country : US
Telephone Number : 617-916-0317
Fax Number :
Provider Business Practice Location Address
First Line : 75 NORUMBEGA RD
Second Line :
City : WESTON
State : MA
Zip : 02493-2431
Country : US
Telephone Number : 781-891-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2016
Last Update Date : 05/31/2016

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Directions to “ MARGARET GIBBONS ” Practice Location

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