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NPI Code Detail

MEDICARE: MS. SHELLEY ANN BERNARDO OTR

MEDICARE: MS. SHELLEY ANN BERNARDO OTR
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 Therapist9261MA
2225X00000XOccupational TherapistOT01114RI

General Provider Information

NPI Number : 1558489831
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHELLEY ANN BERNARDO OTR
Provider Business Mailing Address
First Line : 101 N MARION ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-3513
Country : US
Telephone Number : 508-676-6874
Fax Number :
Provider Business Practice Location Address
First Line : 495 NEW BOSTON RD
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-5835
Country : US
Telephone Number : 508-674-1570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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Directions to “ MS. SHELLEY ANN BERNARDO OTR” Practice Location

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