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NPI Code Detail

MEDICARE: JAMIE THROWE

MEDICARE: JAMIE THROWE
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
1224Z00000XOccupational Therapy Assistant4445MA

General Provider Information

NPI Number : 1770136079
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE THROWE
Provider Business Mailing Address
First Line : 5 KELSEY PL
Second Line :
City : BLOOMFIELD
State : CT
Zip : 06002-2818
Country : US
Telephone Number : 860-808-6500
Fax Number :
Provider Business Practice Location Address
First Line : 66 BROAD ST
Second Line :
City : WESTFIELD
State : MA
Zip : 01085-2927
Country : US
Telephone Number : 413-562-5464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2019
Last Update Date : 07/17/2019

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Directions to “ JAMIE THROWE ” Practice Location

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