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NPI Code Detail

MEDICARE: MANDIE CONSIDINE

MEDICARE: MANDIE CONSIDINE
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 TherapistOT 10706FL
2225XP0200XPediatric Occupational TherapistOT 10706FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598829053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDIE CONSIDINE
Provider Business Mailing Address
First Line : 4327 PEBBLE BROOK DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-7644
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number : 904-403-9443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 11/17/2023

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Directions to “ MANDIE CONSIDINE ” Practice Location

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