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NPI Code Detail

MEDICARE: MRS. NAOMI A WOHLBERG OTR/L

MEDICARE: MRS. NAOMI A WOHLBERG 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 Therapist003287-1NY

General Provider Information

NPI Number : 1043527658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAOMI A WOHLBERG OTR/L
Provider Business Mailing Address
First Line : 555 REMSEN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-1017
Country : US
Telephone Number : 718-495-3510
Fax Number : 718-495-1728
Provider Business Practice Location Address
First Line : 555 REMSEN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-1017
Country : US
Telephone Number : 718-495-3510
Fax Number : 718-495-1728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2010
Last Update Date : 09/29/2010

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