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NPI Code Detail

MEDICARE: MRS. JULIANNE MARY SINDERMANN O.T.

MEDICARE: MRS. JULIANNE MARY SINDERMANN O.T.
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
1225XP0200XPediatric Occupational Therapist056.006575IL

General Provider Information

NPI Number : 1518163369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIANNE MARY SINDERMANN O.T.
Provider Business Mailing Address
First Line : 3145 BURDOCK AVE
Second Line :
City : WEST MELBOURNE
State : FL
Zip : 32904-9583
Country : US
Telephone Number : 815-222-6926
Fax Number :
Provider Business Practice Location Address
First Line : 5650 S WASHINGTON AVE
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-7312
Country : US
Telephone Number : 321-264-0855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 01/11/2017

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