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NPI Code Detail

MEDICARE: SYMON MADRID OTR

MEDICARE:   SYMON  MADRID  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 Therapist3141CA

General Provider Information

NPI Number : 1891259735
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYMON MADRID OTR
Provider Business Mailing Address
First Line : 7451 ASMAN AVE
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-1707
Country : US
Telephone Number : 818-881-4261
Fax Number :
Provider Business Practice Location Address
First Line : 7451 ASMAN AVE
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-1707
Country : US
Telephone Number : 818-881-4261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2019
Last Update Date : 01/24/2019

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Directions to “ SYMON MADRID OTR” Practice Location

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