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NPI Code Detail

MEDICARE: CHRISTINA NEEDHAM O.T.

MEDICARE: CHRISTINA NEEDHAM O.T.
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
1225XP0200XPediatric Occupational Therapist15109NC

General Provider Information

NPI Number : 1740378587
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA NEEDHAM O.T.
Provider Business Mailing Address
First Line : 1000 EDDY ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02905-4739
Country : US
Telephone Number : 401-533-9280
Fax Number : 401-533-9101
Provider Business Practice Location Address
First Line : 44 SHUCKIN ST
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-8729
Country : US
Telephone Number : 910-329-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 11/11/2025

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Directions to “ CHRISTINA NEEDHAM O.T.” Practice Location

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