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NPI Code Detail

MEDICARE: JOHN ADAM ROPIAK OTR/L

MEDICARE: JOHN ADAM ROPIAK 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 Therapist1754CT

General Provider Information

NPI Number : 1053540286
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ADAM ROPIAK OTR/L
Provider Business Mailing Address
First Line : 3 S WIG HILL RD
Second Line :
City : CHESTER
State : CT
Zip : 06412-1106
Country : US
Telephone Number : 860-586-5316
Fax Number : 860-526-2436
Provider Business Practice Location Address
First Line : 3 S WIG HILL RD
Second Line :
City : CHESTER
State : CT
Zip : 06412-1106
Country : US
Telephone Number : 860-586-5316
Fax Number : 860-526-2436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2009
Last Update Date : 07/09/2009

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