MEDICARE: SARWAT NASEEM 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
1	225X00000X	Occupational Therapist	46TR00186500	NJ

General Provider Information

NPI Number	:	1275868580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARWAT NASEEM OTR/L

Provider Business Mailing Address
First Line	:	28 LYON CT
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-5510
Country	:	US
Telephone Number	:	201-360-0544
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 LYON CT
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-5510
Country	:	US
Telephone Number	:	201-360-0544
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2009
Last Update Date	:	10/05/2009

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Directions to “ SARWAT NASEEM OTR/L” Practice Location

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