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NPI Code Detail

MEDICARE: JACQUELINE ROSE PAQUIN OTD, OTR/L

MEDICARE: JACQUELINE ROSE PAQUIN OTD, 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 Therapist10722MD

General Provider Information

NPI Number : 1164117875
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE ROSE PAQUIN OTD, OTR/L
Provider Business Mailing Address
First Line : 203 FAWNHILL RD
Second Line :
City : BROOMALL
State : PA
Zip : 19008-1516
Country : US
Telephone Number : 610-742-2571
Fax Number :
Provider Business Practice Location Address
First Line : 2101 FAIRLAND RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5427
Country : US
Telephone Number : 301-384-6161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2023
Last Update Date : 04/02/2026

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Directions to “ JACQUELINE ROSE PAQUIN OTD, OTR/L” Practice Location

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