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NPI Code Detail

MEDICARE: TESSA NEWELL OTR/L

MEDICARE: TESSA NEWELL OTR/L
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 Therapist19064FL

General Provider Information

NPI Number : 1902378623
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESSA NEWELL OTR/L
Provider Business Mailing Address
First Line : 3239 E COMMUNITY DR
Second Line :
City : JUPITER
State : FL
Zip : 33458-8217
Country : US
Telephone Number : 860-689-6300
Fax Number :
Provider Business Practice Location Address
First Line : 301 NORTHPOINT PKWY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-7904
Country : US
Telephone Number : 561-712-1717
Fax Number : 561-712-1112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 12/19/2018

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Directions to “ TESSA NEWELL OTR/L” Practice Location

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