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NPI Code Detail

MEDICARE: ELISHEVA SCHWAB OTRL

MEDICARE:   ELISHEVA  SCHWAB  OTRL
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 Therapist46TR00682100NJ
2225X00000XOccupational Therapist019395NY

General Provider Information

NPI Number : 1497124499
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISHEVA SCHWAB OTRL
Provider Business Mailing Address
First Line : 127 STRATFORD PL
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1468
Country : US
Telephone Number : 732-600-2090
Fax Number : 732-363-5443
Provider Business Practice Location Address
First Line : 127 STRATFORD PL
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1468
Country : US
Telephone Number : 732-600-2090
Fax Number : 732-363-5443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2015
Last Update Date : 09/19/2015

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Directions to “ ELISHEVA SCHWAB OTRL” Practice Location

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