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NPI Code Detail

MEDICARE: ELIZABETH NAZZARO OTR

MEDICARE: ELIZABETH NAZZARO OTR
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 TherapistOT00192RI

General Provider Information

NPI Number : 1417438904
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH NAZZARO OTR
Provider Business Mailing Address
First Line : 15 SUMNER BROWN RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-1214
Country : US
Telephone Number : 401-333-6352
Fax Number :
Provider Business Practice Location Address
First Line : 15 SUMNER BROWN RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-1214
Country : US
Telephone Number : 401-333-6352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/23/2018

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Directions to “ ELIZABETH NAZZARO OTR” Practice Location

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