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NPI Code Detail

MEDICARE: TAYLOR NOELLE BROWN LMT, OTR

MEDICARE: TAYLOR NOELLE BROWN LMT, 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
1225700000XMassage Therapist12990MA
2225X00000XOccupational Therapist5728CT
3225X00000XOccupational Therapist13999MA

General Provider Information

NPI Number : 1437728128
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR NOELLE BROWN LMT, OTR
Provider Business Mailing Address
First Line : 33 BROOKSIDE DR
Second Line :
City : HAMPDEN
State : MA
Zip : 01036-9542
Country : US
Telephone Number : 413-355-0628
Fax Number :
Provider Business Practice Location Address
First Line : 11 SAINT ANTHONY ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01013-2141
Country : US
Telephone Number : 413-315-4205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2021
Last Update Date : 09/10/2021

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