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NPI Code Detail

MEDICARE: MR. JOSHUA MATTHEW ADLER OTRL

MEDICARE: MR. JOSHUA MATTHEW ADLER OTRL
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
1225XP0200XPediatric Occupational Therapist0119003742VA
2225XN1300XNeurorehabilitation Occupational Therapist0119003742VA
3225XP0019XPhysical Rehabilitation Occupational Therapist0119003742VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285851568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA MATTHEW ADLER OTRL
Provider Business Mailing Address
First Line : 5604 VIRGINIA BEACH BLVD
Second Line : BUILDING A, SUITE 101
City : VIRGINIA BEACH
State : VA
Zip : 23462-5631
Country : US
Telephone Number : 757-455-5000
Fax Number : 757-319-4142
Provider Business Practice Location Address
First Line : 5604 VIRGINIA BEACH BLVD
Second Line : BUILDING A, SUITE 101
City : VIRGINIA BEACH
State : VA
Zip : 23462-5631
Country : US
Telephone Number : 757-455-5000
Fax Number : 757-319-4142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 11/17/2015

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