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NPI Code Detail

MEDICARE: BRANDI ANN SCHIAVONE MS OTRL

MEDICARE: BRANDI ANN SCHIAVONE MS OTRL
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 TherapistOC007009LPA

General Provider Information

NPI Number : 1417172685
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI ANN SCHIAVONE MS OTRL
Provider Business Mailing Address
First Line : RR 1 BOX 1194
Second Line :
City : CARBONDALE
State : PA
Zip : 18407-9031
Country : US
Telephone Number : 570-222-2439
Fax Number :
Provider Business Practice Location Address
First Line : 915 DELAWARE ST
Second Line :
City : FOREST CITY
State : PA
Zip : 18421-1005
Country : US
Telephone Number : 570-785-3390
Fax Number : 570-785-3937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2007
Last Update Date : 07/08/2007

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Directions to “ BRANDI ANN SCHIAVONE MS OTRL” Practice Location

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