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NPI Code Detail

MEDICARE: KENDALL GESSIG OTR/L

MEDICARE:   KENDALL  GESSIG  OTR/L
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 TherapistOC008451PA

General Provider Information

NPI Number : 1033522180
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL GESSIG OTR/L
Provider Business Mailing Address
First Line : 223 ARDEN RD
Second Line :
City : BROOMALL
State : PA
Zip : 19008-2004
Country : US
Telephone Number : 610-213-6399
Fax Number :
Provider Business Practice Location Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number : 610-225-2451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2014
Last Update Date : 06/06/2014

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Directions to “ KENDALL GESSIG OTR/L” Practice Location

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