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NPI Code Detail

MEDICARE: EVELYN BRATT OTR/L

MEDICARE:   EVELYN  BRATT  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 Therapist06943MD

General Provider Information

NPI Number : 1386080216
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN BRATT OTR/L
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-444-6350
Fax Number :
Provider Business Practice Location Address
First Line : 3701 INTERNATIONAL DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-1556
Country : US
Telephone Number : 301-438-3023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2013
Last Update Date : 05/19/2013

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Directions to “ EVELYN BRATT OTR/L” Practice Location

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