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NPI Code Detail

MEDICARE: KATHRINE BARD

MEDICARE: KATHRINE BARD
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 Therapist019454NY

General Provider Information

NPI Number : 1790154623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRINE BARD
Provider Business Mailing Address
First Line : 2681 W 2ND ST APT 3C
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-6371
Country : US
Telephone Number : 646-400-3776
Fax Number :
Provider Business Practice Location Address
First Line : 3911 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3501
Country : US
Telephone Number : 718-377-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2015
Last Update Date : 09/22/2015

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Directions to “ KATHRINE BARD ” Practice Location

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