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NPI Code Detail

MEDICARE: SANDRA M VERGEL OT

MEDICARE: SANDRA M VERGEL 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
1225XH1200XHand Occupational TherapistOT19527FL
2225XH1200XHand Occupational Therapist

General Provider Information

NPI Number : 1376833699
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA M VERGEL OT
Provider Business Mailing Address
First Line : 2734 SW 37TH AVE
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-2728
Country : US
Telephone Number : 305-642-4263
Fax Number : 305-426-3329
Provider Business Practice Location Address
First Line : 2734 SW 37TH AVE
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-2728
Country : US
Telephone Number : 305-642-4263
Fax Number : 305-426-3329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2011
Last Update Date : 02/11/2021

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