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NPI Code Detail

MEDICARE: JONI VERCAMMEN OTR

MEDICARE: JONI VERCAMMEN OTR
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 Therapist0119006320VA
2225X00000XOccupational TherapistOC009069PA

General Provider Information

NPI Number : 1073577268
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONI VERCAMMEN OTR
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Provider Business Practice Location Address
First Line : 20 E PICCADILLY ST STE 11&14
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-3971
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 03/04/2022

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Directions to “ JONI VERCAMMEN OTR” Practice Location

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