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NPI Code Detail

MEDICARE: DIANNA SUTCLIFFE

MEDICARE: DIANNA SUTCLIFFE
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
1224Z00000XOccupational Therapy Assistant
2225X00000XOccupational Therapist900000377MA

General Provider Information

NPI Number : 1093882342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNA SUTCLIFFE
Provider Business Mailing Address
First Line : 60 MAPLE AVE
Second Line :
City : SWANSEA
State : MA
Zip : 02777-4558
Country : US
Telephone Number : 774-955-8239
Fax Number :
Provider Business Practice Location Address
First Line : 68 ALLISON AVE
Second Line :
City : TAUNTON
State : MA
Zip : 02780-6958
Country : US
Telephone Number : 774-955-8239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 11/07/2013

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Directions to “ DIANNA SUTCLIFFE ” Practice Location

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