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NPI Code Detail

MEDICARE: ANGELA HUSEK OTR

MEDICARE: ANGELA HUSEK 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 TherapistOT 004935OH

General Provider Information

NPI Number : 1144624461
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA HUSEK OTR
Provider Business Mailing Address
First Line : 7960 CENTER ST
Second Line :
City : MENTOR
State : OH
Zip : 44060-7863
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 HAMLET HILLS DR
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44022-2870
Country : US
Telephone Number : 440-600-7688
Fax Number : 440-328-8421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2014
Last Update Date : 02/24/2023

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