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NPI Code Detail

MEDICARE: MISS REBECCA BISNAUTH OTR/L

MEDICARE:  MISS REBECCA  BISNAUTH  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
1225X00000XOccupational Therapist026758NY

General Provider Information

NPI Number : 1538804794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS REBECCA BISNAUTH OTR/L
Provider Business Mailing Address
First Line : 13326 128TH ST
Second Line :
City : SOUTH OZONE PARK
State : NY
Zip : 11420-3304
Country : US
Telephone Number : 347-860-1593
Fax Number :
Provider Business Practice Location Address
First Line : 13326 128TH ST
Second Line :
City : SOUTH OZONE PARK
State : NY
Zip : 11420-3304
Country : US
Telephone Number : 347-860-1593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 05/02/2022

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Directions to “ MISS REBECCA BISNAUTH OTR/L” Practice Location

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