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NPI Code Detail

MEDICARE: MRS. JENNIFER SHAMY OTR/L

MEDICARE: MRS. JENNIFER SHAMY 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 Therapist4677OH

General Provider Information

NPI Number : 1548683121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER SHAMY OTR/L
Provider Business Mailing Address
First Line : 4154 RANCHERS CIR
Second Line :
City : MAUMEE
State : OH
Zip : 43537-9222
Country : US
Telephone Number : 419-236-7117
Fax Number :
Provider Business Practice Location Address
First Line : 2275 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1100
Country : US
Telephone Number : 419-245-4150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2014
Last Update Date : 02/02/2014

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