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NPI Code Detail

MEDICARE: MS. JOYCE UPSON I OTA

MEDICARE: MS. JOYCE UPSON I OTA
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
1224Z00000XOccupational Therapy Assistant0101NH

General Provider Information

NPI Number : 1285058503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOYCE UPSON I OTA
Provider Business Mailing Address
First Line : 64 NH ROUTE 153 N
Second Line :
City : EFFINGHAM
State : NH
Zip : 03882-8120
Country : US
Telephone Number : 603-539-1702
Fax Number : 603-539-6404
Provider Business Practice Location Address
First Line : 170 KEARSARGE RD
Second Line :
City : NORTH CONWAY
State : NH
Zip : 03860-5331
Country : US
Telephone Number : 603-356-4114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2014
Last Update Date : 02/06/2014

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Directions to “ MS. JOYCE UPSON I OTA” Practice Location

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