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NPI Code Detail

MEDICARE: MRS. ANNE ELIZABETH MUSKOPF OTR/L

MEDICARE: MRS. ANNE ELIZABETH MUSKOPF 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 Therapist8325MA

General Provider Information

NPI Number : 1124209127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNE ELIZABETH MUSKOPF OTR/L
Provider Business Mailing Address
First Line : 555 AMORY ST
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-2652
Country : US
Telephone Number : 617-383-6522
Fax Number : 617-383-6520
Provider Business Practice Location Address
First Line : 555 AMORY ST
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-2652
Country : US
Telephone Number : 617-383-6522
Fax Number : 617-383-6520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2007
Last Update Date : 11/18/2007

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