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NPI Code Detail

MEDICARE: MRS. DANIELLE TANNIAN OT

MEDICARE: MRS. DANIELLE TANNIAN OT
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 Therapist12883MA

General Provider Information

NPI Number : 1487137857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE TANNIAN OT
Provider Business Mailing Address
First Line : 41 RESNIK RD
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5721
Country : US
Telephone Number : 781-934-7292
Fax Number : 508-746-3980
Provider Business Practice Location Address
First Line : 41 RESNIK RD
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5721
Country : US
Telephone Number : 781-934-7292
Fax Number : 508-746-3980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 01/07/2025

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Directions to “ MRS. DANIELLE TANNIAN OT” Practice Location

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