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NPI Code Detail

MEDICARE: ALLISON MERLO MSOT, OTR/L

MEDICARE:   ALLISON  MERLO  MSOT, 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 Therapist5766AZ

General Provider Information

NPI Number : 1043637499
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON MERLO MSOT, OTR/L
Provider Business Mailing Address
First Line : 8001 E FAIRMOUNT AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-4811
Country : US
Telephone Number : 516-458-8577
Fax Number :
Provider Business Practice Location Address
First Line : 8001 E FAIRMOUNT AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-4811
Country : US
Telephone Number : 516-458-8577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 03/24/2014

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Directions to “ ALLISON MERLO MSOT, OTR/L” Practice Location

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