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NPI Code Detail

MEDICARE: DANIELLE HALL OTR

MEDICARE: DANIELLE HALL OTR
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 Assistant3903MA
2225XP0200XPediatric Occupational Therapist13439MA

General Provider Information

NPI Number : 1306294905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE HALL OTR
Provider Business Mailing Address
First Line : 16 SAWMILL WAY
Second Line :
City : GEORGETOWN
State : MA
Zip : 01833-1700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 370 MERRIMACK ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-1788
Country : US
Telephone Number : 978-620-0290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2016
Last Update Date : 01/21/2020

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Directions to “ DANIELLE HALL OTR” Practice Location

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