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NPI Code Detail

MEDICARE: PEREL INSEL OTR/L

MEDICARE: PEREL INSEL 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 Therapist46TR01197900NJ

General Provider Information

NPI Number : 1346075751
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEREL INSEL OTR/L
Provider Business Mailing Address
First Line : 22 OLYMPIC CIR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5005
Country : US
Telephone Number : 347-374-0270
Fax Number :
Provider Business Practice Location Address
First Line : 80 HILLSIDE BLVD
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-3798
Country : US
Telephone Number : 732-534-7325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2024
Last Update Date : 09/05/2024

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