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NPI Code Detail

MEDICARE: ALLISON MARSTON OTA

MEDICARE: ALLISON MARSTON 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 Assistant002666NY

General Provider Information

NPI Number : 1326413550
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON MARSTON OTA
Provider Business Mailing Address
First Line : 1154 SAW MILL RIVER RD
Second Line :
City : YONKERS
State : NY
Zip : 10710-3210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1154 SAW MILL RIVER RD
Second Line :
City : YONKERS
State : NY
Zip : 10710-3210
Country : US
Telephone Number : 914-968-4851
Fax Number : 914-968-4857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2015
Last Update Date : 12/14/2015

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