MEDICARE: NANCY A KASHMAN

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
1	225X00000X	Occupational Therapist	OT 15068	FL

General Provider Information

NPI Number	:	1205117025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY A KASHMAN

Provider Business Mailing Address
First Line	:	6979 FABIANO CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3595
Country	:	US
Telephone Number	:	602-697-7879
Fax Number	:	561-336-2492

Provider Business Practice Location Address
First Line	:	6979 FABIANO CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3595
Country	:	US
Telephone Number	:	602-697-7879
Fax Number	:	561-336-2492

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2011
Last Update Date	:	02/20/2012

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