MEDICARE: VICTORIA PUZO

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1346968435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA PUZO

Provider Business Mailing Address
First Line	:	331 PRUSSIAN LN
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 PRUSSIAN LN
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1311
Country	:	US
Telephone Number	:	610-312-4948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	08/16/2022

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Directions to “ VICTORIA PUZO ” Practice Location

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