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NPI Code Detail

MEDICARE: PATRICIA DUPONT OT

MEDICARE: PATRICIA DUPONT OT
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 Therapist6929MA

General Provider Information

NPI Number : 1376664011
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA DUPONT OT
Provider Business Mailing Address
First Line : 30 ADAMS ST
Second Line :
City : EASTHAMPTON
State : MA
Zip : 01027-1617
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 COLRAIN RD
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-9625
Country : US
Telephone Number : 413-774-3724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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