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NPI Code Detail

MEDICARE: GERSHON ROSEN OTR/L

MEDICARE: GERSHON ROSEN 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 TherapistOTL15559MA

General Provider Information

NPI Number : 1902694318
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERSHON ROSEN OTR/L
Provider Business Mailing Address
First Line : 22 DRURY LN
Second Line :
City : EASTHAMPTON
State : MA
Zip : 01027-9742
Country : US
Telephone Number : 914-433-3580
Fax Number :
Provider Business Practice Location Address
First Line : 24 PARK ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-0900
Country : US
Telephone Number : 413-499-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2025
Last Update Date : 04/26/2025

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Directions to “ GERSHON ROSEN OTR/L” Practice Location

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