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NPI Code Detail

MEDICARE: FRANCES OLAJUMOKE ABEGUNDE M.ED., OTR/L, CLT

MEDICARE: FRANCES OLAJUMOKE ABEGUNDE M.ED., OTR/L, CLT
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 Therapist09-0195NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11588983746OTHERNPI NUMBER

General Provider Information

NPI Number : 1588983746
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES OLAJUMOKE ABEGUNDE M.ED., OTR/L, CLT
Provider Business Mailing Address
First Line : 8981 W SAHARA AVE
Second Line : SUITE 120
City : LAS VEGAS
State : NV
Zip : 89117-5897
Country : US
Telephone Number : 562-500-1201
Fax Number : 800-610-5973
Provider Business Practice Location Address
First Line : 8981 W SAHARA AVE
Second Line : SUITE 120
City : LAS VEGAS
State : NV
Zip : 89117-5897
Country : US
Telephone Number : 562-500-1201
Fax Number : 800-610-5973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2010
Last Update Date : 05/03/2013

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Directions to “ FRANCES OLAJUMOKE ABEGUNDE M.ED., OTR/L, CLT” Practice Location

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