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NPI Code Detail

MEDICARE: PATRICIA FORBES NELSON OTA

MEDICARE: PATRICIA FORBES NELSON OTA
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
1224Z00000XOccupational Therapy Assistant007484-1NY

General Provider Information

NPI Number : 1043532898
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA FORBES NELSON OTA
Provider Business Mailing Address
First Line : 22006 LINDEN BLVD
Second Line : APT 3FL
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1621
Country : US
Telephone Number : 718-795-3291
Fax Number :
Provider Business Practice Location Address
First Line : 22006 LINDEN BLVD
Second Line : APT 3FL
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1621
Country : US
Telephone Number : 718-795-3291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2010
Last Update Date : 02/22/2010

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Directions to “ PATRICIA FORBES NELSON OTA” Practice Location

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