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NPI Code Detail

MEDICARE: JANICE ANN MCCUTCHAN OTRL

MEDICARE: JANICE ANN MCCUTCHAN OTRL
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 Therapist006389-1NY

General Provider Information

NPI Number : 1003963653
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE ANN MCCUTCHAN OTRL
Provider Business Mailing Address
First Line : 11 PIONEER DR
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-1919
Country : US
Telephone Number : 585-377-3012
Fax Number :
Provider Business Practice Location Address
First Line : 41 OCONNOR RD
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-1327
Country : US
Telephone Number : 585-586-1850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 10/06/2011

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Directions to “ JANICE ANN MCCUTCHAN OTRL” Practice Location

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