MEDICARE: JOSEPH SZABO 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	OT010957	OH

General Provider Information

NPI Number	:	1700419017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH SZABO OTR/L

Provider Business Mailing Address
First Line	:	3740 WALTERS DR
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-2747
Country	:	US
Telephone Number	:	216-533-0673
Fax Number	:

Provider Business Practice Location Address
First Line	:	997 W AURORA RD
Second Line	:
City	:	NORTHFIELD
State	:	OH
Zip	:	44067-1605
Country	:	US
Telephone Number	:	330-908-1166
Fax Number	:

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

Provider Enumeration Date	:	02/14/2020
Last Update Date	:	02/14/2020

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