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NPI Code Detail

MEDICARE: MS. RITA MORAN OKONIEWSKI OTR

MEDICARE:  MS. RITA MORAN OKONIEWSKI  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 Therapist001055-1NY

General Provider Information

NPI Number : 1588950109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RITA MORAN OKONIEWSKI OTR
Provider Business Mailing Address
First Line : PO BOX 468
Second Line :
City : VOORHEESVILLE
State : NY
Zip : 12186-0468
Country : US
Telephone Number : 518-765-2382
Fax Number : 518-765-3842
Provider Business Practice Location Address
First Line : 129 MAPLE AVE
Second Line :
City : VOORHEESVILLE
State : NY
Zip : 12186-9726
Country : US
Telephone Number : 518-765-2382
Fax Number : 518-765-3842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2011
Last Update Date : 06/22/2011

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