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NPI Code Detail

MEDICARE: MRS. JOANNA MARIE MOSES OTRL

MEDICARE: MRS. JOANNA MARIE MOSES OTRL
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 Therapist8752MA

General Provider Information

NPI Number : 1639370471
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOANNA MARIE MOSES OTRL
Provider Business Mailing Address
First Line : 1107 MOUNT PLEASANT ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02745-4960
Country : US
Telephone Number : 774-202-4900
Fax Number :
Provider Business Practice Location Address
First Line : 273 OAK GROVE AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-2315
Country : US
Telephone Number : 774-202-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/08/2007

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