MEDICARE: VERONICA MAGHIELSE

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
1	225X00000X	Occupational Therapist	31008238A	IN

General Provider Information

NPI Number	:	1679340285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA MAGHIELSE

Provider Business Mailing Address
First Line	:	2304 UNION PIKE
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-9701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 CHESTER BLVD
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-1215
Country	:	US
Telephone Number	:	765-962-6546
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2023
Last Update Date	:	12/05/2023

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Directions to “ VERONICA MAGHIELSE ” Practice Location

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