MEDICARE: MISS EFRAT EVA HALPERT 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
1	225X00000X	Occupational Therapist	016027	NY

General Provider Information

NPI Number	:	1932410065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS EFRAT EVA HALPERT OTR/L

Provider Business Mailing Address
First Line	:	916 E 10TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-3519
Country	:	US
Telephone Number	:	917-613-4824
Fax Number	:	718-338-0759

Provider Business Practice Location Address
First Line	:	916 E 10TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-3519
Country	:	US
Telephone Number	:	917-613-4824
Fax Number	:	718-338-0759

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	06/24/2010

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