MEDICARE: NANCY ENGELHARDT

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
1	225X00000X	Occupational Therapist	1445	MA

General Provider Information

NPI Number	:	1497024673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY ENGELHARDT

Provider Business Mailing Address
First Line	:	40 HOLLOW RIDGE RD
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 HOLLOW RIDGE RD
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1006
Country	:	US
Telephone Number	:	781-400-1316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2011
Last Update Date	:	12/18/2011

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Directions to “ NANCY ENGELHARDT ” Practice Location

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