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NPI Code Detail

MEDICARE: MRS. LINDA KOZDRON MSOTR/L

MEDICARE: MRS. LINDA KOZDRON MSOTR/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
1225X00000XOccupational Therapist46TR00442700NJ

General Provider Information

NPI Number : 1407135049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA KOZDRON MSOTR/L
Provider Business Mailing Address
First Line : 118 BOULDER LAKE DR
Second Line :
City : LITTLE EGG HARBOR TWP
State : NJ
Zip : 08087-1246
Country : US
Telephone Number : 609-879-0277
Fax Number :
Provider Business Practice Location Address
First Line : 1001 CENTER ST
Second Line :
City : LITTLE EGG HARBOR TWP
State : NJ
Zip : 08087-1347
Country : US
Telephone Number : 609-294-4261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2011
Last Update Date : 05/22/2013

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