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NPI Code Detail

MEDICARE: CHAYA BRECHER OT

MEDICARE:   CHAYA  BRECHER  OT
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 Therapist

General Provider Information

NPI Number : 1700258977
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAYA BRECHER OT
Provider Business Mailing Address
First Line : 675 PRINCETON AVE
Second Line : APT 411
City : LAKEWOOD
State : NJ
Zip : 08701-2898
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 675 PRINCETON AVE
Second Line : APT 411
City : LAKEWOOD
State : NJ
Zip : 08701-2898
Country : US
Telephone Number : 732-864-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2015
Last Update Date : 10/27/2015

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Directions to “ CHAYA BRECHER OT” Practice Location

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