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NPI Code Detail

MEDICARE: TERESA CEPULL

MEDICARE: TERESA CEPULL
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
1222Q00000XDevelopmental Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760159016
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA CEPULL
Provider Business Mailing Address
First Line : 14745 HARTFORD RUN DR
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7823
Country : US
Telephone Number : 303-246-7314
Fax Number :
Provider Business Practice Location Address
First Line : 14745 HARTFORD RUN DR
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7823
Country : US
Telephone Number : 303-246-7314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2021
Last Update Date : 08/25/2021

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Directions to “ TERESA CEPULL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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