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NPI Code Detail

MEDICARE: ANNE CHEN OTR/L

MEDICARE: ANNE CHEN 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 Therapist021964NY

General Provider Information

NPI Number : 1043720477
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE CHEN OTR/L
Provider Business Mailing Address
First Line : 1109 GOSHAWK CIR
Second Line :
City : AUDUBON
State : PA
Zip : 19403-1862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 W END AVE APT 1M
Second Line :
City : NEW YORK
State : NY
Zip : 10023-5715
Country : US
Telephone Number : 212-600-4781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2017
Last Update Date : 09/10/2019

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