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NPI Code Detail

MEDICARE: SUSAN BARAKIAN OT

MEDICARE: SUSAN BARAKIAN OT
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 Therapist3688MA

General Provider Information

NPI Number : 1104695121
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN BARAKIAN OT
Provider Business Mailing Address
First Line : 32 MAYO DR
Second Line :
City : HOLDEN
State : MA
Zip : 01520-1512
Country : US
Telephone Number : 508-615-3422
Fax Number :
Provider Business Practice Location Address
First Line : 32 MAYO DR
Second Line :
City : HOLDEN
State : MA
Zip : 01520-1512
Country : US
Telephone Number : 508-829-1194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2024
Last Update Date : 01/02/2024

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Directions to “ SUSAN BARAKIAN OT” Practice Location

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