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NPI Code Detail

MEDICARE: JESSICA SEBRING OTR/L

MEDICARE: JESSICA SEBRING 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 Therapist10478MA

General Provider Information

NPI Number : 1659848406
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SEBRING OTR/L
Provider Business Mailing Address
First Line : 85 BEAUMONT DR
Second Line :
City : NORTHBRIDGE
State : MA
Zip : 01534-1093
Country : US
Telephone Number : 508-234-9771
Fax Number :
Provider Business Practice Location Address
First Line : 85 BEAUMONT DR
Second Line :
City : NORTHBRIDGE
State : MA
Zip : 01534-1093
Country : US
Telephone Number : 508-234-9771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2018
Last Update Date : 10/30/2018

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Directions to “ JESSICA SEBRING OTR/L” Practice Location

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