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NPI Code Detail

MEDICARE: SAMANTHA BEEBE

MEDICARE: SAMANTHA BEEBE
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 TherapistP02267NY
2225X00000XOccupational Therapist6552SC

General Provider Information

NPI Number : 1205288206
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BEEBE
Provider Business Mailing Address
First Line : 7475 MORGAN RD
Second Line : BUILDING 12 APARTMENT 13
City : LIVERPOOL
State : NY
Zip : 13090-3921
Country : US
Telephone Number : 315-406-8825
Fax Number :
Provider Business Practice Location Address
First Line : 7740 MEIGS RD
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-9757
Country : US
Telephone Number : 315-638-2521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2016
Last Update Date : 04/04/2023

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