MEDICARE: MS. PATRICIA ANN SIMPSON MS 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
1	225X00000X	Occupational Therapist	46TR00484000	NJ

General Provider Information

NPI Number	:	1699026898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA ANN SIMPSON MS OTR/L

Provider Business Mailing Address
First Line	:	5 TOWNSQUARE
Second Line	:	SUITE A
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2568
Country	:	US
Telephone Number	:	973-507-9730
Fax Number	:	973-507-9710

Provider Business Practice Location Address
First Line	:	5 TOWNSQUARE
Second Line	:	SUITE A
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2568
Country	:	US
Telephone Number	:	973-507-9730
Fax Number	:	973-507-9710

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

Provider Enumeration Date	:	09/27/2012
Last Update Date	:	09/27/2012

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