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NPI Code Detail

MEDICARE: MS. CLARICE AKIYO CHIKAZAWA OTR

MEDICARE: MS. CLARICE AKIYO CHIKAZAWA 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 Therapist101311MN

General Provider Information

NPI Number : 1215154125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLARICE AKIYO CHIKAZAWA OTR
Provider Business Mailing Address
First Line : 1891 STATION PKWY NW
Second Line :
City : ANDOVER
State : MN
Zip : 55304-3341
Country : US
Telephone Number : 763-755-4275
Fax Number : 763-755-4261
Provider Business Practice Location Address
First Line : 1891 STATION PKWY NW
Second Line :
City : ANDOVER
State : MN
Zip : 55304-3341
Country : US
Telephone Number : 763-755-4275
Fax Number : 763-755-4261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 02/12/2018

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