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NPI Code Detail

MEDICARE: MRS. MEIRA GOLD MS OTR/L

MEDICARE:  MRS. MEIRA  GOLD  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
1225X00000XOccupational Therapist46TR00773100NJ
2225X00000XOccupational Therapist07331MD

General Provider Information

NPI Number : 1760915045
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEIRA GOLD MS OTR/L
Provider Business Mailing Address
First Line : 5932 CROSS COUNTRY BLVD
Second Line :
City : BALTIMORE
State : MD
Zip : 21215-3833
Country : US
Telephone Number : 443-604-8679
Fax Number :
Provider Business Practice Location Address
First Line : 2 STACY CT
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2912
Country : US
Telephone Number : 732-664-8874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 01/13/2019

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