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NPI Code Detail

MEDICARE: MRS. NANCY SUE EPSTEIN OTRIL

MEDICARE: MRS. NANCY SUE EPSTEIN OTRIL
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 Therapist46TR0022680NJ

General Provider Information

NPI Number : 1639717945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY SUE EPSTEIN OTRIL
Provider Business Mailing Address
First Line : 1817 E. FIRESIDE COURT -TOOLS FOR HEALING LLC
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003
Country : US
Telephone Number : 609-923-1018
Fax Number :
Provider Business Practice Location Address
First Line : 1817 E. FIRESIDE COURT -TOOLS FOR HEALING LLC
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003
Country : US
Telephone Number : 609-923-1018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2019
Last Update Date : 12/17/2019

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