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NPI Code Detail

MEDICARE: MRS. THELMA NORONHA OTR/L

MEDICARE:  MRS. THELMA  NORONHA  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
1225XP0200XPediatric Occupational Therapist007203-1NY

General Provider Information

NPI Number : 1427365014
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. THELMA NORONHA OTR/L
Provider Business Mailing Address
First Line : 2735 HENRY HUDSON PKWY
Second Line : SUITE 102
City : BRONX
State : NY
Zip : 10463-4701
Country : US
Telephone Number : 718-601-7400
Fax Number : 718-601-7401
Provider Business Practice Location Address
First Line : 2735 HENRY HUDSON PKWY
Second Line : SUITE 102
City : BRONX
State : NY
Zip : 10463-4701
Country : US
Telephone Number : 718-601-7400
Fax Number : 718-601-7401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2010
Last Update Date : 09/03/2010

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Directions to “ MRS. THELMA NORONHA OTR/L” Practice Location

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