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NPI Code Detail

MEDICARE: JESSICA DINJIAN OTR/L

MEDICARE:   JESSICA  DINJIAN  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 Therapist10206MA

General Provider Information

NPI Number : 1225443260
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DINJIAN OTR/L
Provider Business Mailing Address
First Line : 53 FITCHBURG ST
Second Line :
City : WATERTOWN
State : MA
Zip : 02472-1890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 70 FULTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02109-1402
Country : US
Telephone Number : 617-726-9724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2014
Last Update Date : 06/28/2014

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Directions to “ JESSICA DINJIAN OTR/L” Practice Location

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