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NPI Code Detail

MEDICARE: ALEXANDRA M MUSCELLA OTR/L

MEDICARE: ALEXANDRA M MUSCELLA 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
1225XN1300XNeurorehabilitation Occupational TherapistOCO14782PA

General Provider Information

NPI Number : 1447779756
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA M MUSCELLA OTR/L
Provider Business Mailing Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number : 610-225-2451
Fax Number : 610-964-6166
Provider Business Practice Location Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number : 610-225-2451
Fax Number : 610-964-6166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 07/21/2022

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