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NPI Code Detail

MEDICARE: JAN KASTEN AAS

MEDICARE: JAN KASTEN AAS
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 Assistant000684NY

General Provider Information

NPI Number : 1316019177
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAN KASTEN AAS
Provider Business Mailing Address
First Line : RR 2 BOX 2910
Second Line :
City : HALLSTEAD
State : PA
Zip : 18822
Country : US
Telephone Number : 607-729-0044
Fax Number : 607-729-9994
Provider Business Practice Location Address
First Line : 700 HARRY L DR
Second Line :
City : JOHNSON CITY
State : NY
Zip : 13790-1145
Country : US
Telephone Number : 607-729-0044
Fax Number : 607-729-9994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 07/08/2007

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