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NPI Code Detail

MEDICARE: SARAI HAGOPIAN OTR

MEDICARE: SARAI HAGOPIAN 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 Therapist5087-17WI

General Provider Information

NPI Number : 1437903598
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAI HAGOPIAN OTR
Provider Business Mailing Address
First Line : 7311 98TH AVE UNIT L
Second Line :
City : KENOSHA
State : WI
Zip : 53142-8334
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6125 GREEN BAY RD STE 800
Second Line :
City : KENOSHA
State : WI
Zip : 53142-2982
Country : US
Telephone Number : 262-276-3544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/23/2026

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