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NPI Code Detail

MEDICARE: CLEVELAND A GAJEE OTR/L

MEDICARE:   CLEVELAND A GAJEE  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 Therapist46TR00424500NJ

General Provider Information

NPI Number : 1285862276
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLEVELAND A GAJEE OTR/L
Provider Business Mailing Address
First Line : 441 BOULEVARD
Second Line : 11B
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-1526
Country : US
Telephone Number : 201-288-1963
Fax Number : 201-288-1963
Provider Business Practice Location Address
First Line : 441 BOULEVARD
Second Line : 11B
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-1526
Country : US
Telephone Number : 201-288-1963
Fax Number : 201-288-1963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2009
Last Update Date : 06/29/2009

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Directions to “ CLEVELAND A GAJEE OTR/L” Practice Location

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