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NPI Code Detail

MEDICARE: JEFFREY KAESER OTR/L

MEDICARE: JEFFREY KAESER 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 TherapistOT003491GA

General Provider Information

NPI Number : 1205001856
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY KAESER OTR/L
Provider Business Mailing Address
First Line : 8 SUGAR CANE DR
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-9444
Country : US
Telephone Number : 912-224-3065
Fax Number :
Provider Business Practice Location Address
First Line : 351 WILMINGTON ISLAND RD
Second Line :
City : SAVANNAH
State : GA
Zip : 31410-3851
Country : US
Telephone Number : 912-898-9711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2008
Last Update Date : 04/24/2008

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