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NPI Code Detail

MEDICARE: MRS. BETSY BROWN

MEDICARE: MRS. BETSY BROWN
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 Therapist7402FL
2225X00000XOccupational Therapist015346-1NY

General Provider Information

NPI Number : 1114067444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETSY BROWN
Provider Business Mailing Address
First Line : 304 BILLSBORO RD
Second Line :
City : GENEVA
State : NY
Zip : 14456-9711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8842 ROUTE 90
Second Line : MANDEL THERAPY GROUP
City : KING FERRY
State : NY
Zip : 13081
Country : US
Telephone Number : 315-364-7570
Fax Number : 315-364-8016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 11/17/2008

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Directions to “ MRS. BETSY BROWN ” Practice Location

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