MEDICARE: MS. MAUREEN A BEGLEY OTR/L

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	001304	NY
2	225XE0001X	Environmental Modification Occupational Therapist	001304	NY
3	225XP0200X	Pediatric Occupational Therapist	001304	NY

General Provider Information

NPI Number	:	1396970869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAUREEN A BEGLEY OTR/L

Provider Business Mailing Address
First Line	:	143 14TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-4706
Country	:	US
Telephone Number	:	718-788-6880
Fax Number	:

Provider Business Practice Location Address
First Line	:	143 14TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-4706
Country	:	US
Telephone Number	:	917-586-8872
Fax Number	:

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

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	05/27/2009

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