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NPI Code Detail

MEDICARE: ANNELISE PFEIFFER OT/R

MEDICARE: ANNELISE PFEIFFER OT/R
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 Therapist13742MA

General Provider Information

NPI Number : 1063180289
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNELISE PFEIFFER OT/R
Provider Business Mailing Address
First Line : 4310 FOREST HILL DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-5680
Country : US
Telephone Number : 847-441-5593
Fax Number : 847-441-4130
Provider Business Practice Location Address
First Line : 17 CHIPMAN WAY # 1039
Second Line :
City : KINGSTON
State : MA
Zip : 02364-1039
Country : US
Telephone Number : 781-585-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/01/2021

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Directions to “ ANNELISE PFEIFFER OT/R” Practice Location

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