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NPI Code Detail

MEDICARE: MRS. DEBORAH BROWNELL OTR/L

MEDICARE: MRS. DEBORAH BROWNELL 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 Therapist0017NV
2225X00000XOccupational Therapist019227-1NY

General Provider Information

NPI Number : 1548445810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH BROWNELL OTR/L
Provider Business Mailing Address
First Line : 95 JOHN MUIR DR
Second Line :
City : BUFFALO
State : NY
Zip : 14228-1144
Country : US
Telephone Number : 800-543-9399
Fax Number :
Provider Business Practice Location Address
First Line : 777 MARYVALE DR
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-2712
Country : US
Telephone Number : 716-631-9515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 04/20/2017

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