MEDICARE: NADIA M. DOS SANTOS OTR

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	OT-002507	OH

General Provider Information

NPI Number	:	1780086868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIA M. DOS SANTOS OTR

Provider Business Mailing Address
First Line	:	7389 ELKWOOD DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3007
Country	:	US
Telephone Number	:	513-633-2285
Fax Number	:

Provider Business Practice Location Address
First Line	:	7389 ELKWOOD DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3007
Country	:	US
Telephone Number	:	513-633-2285
Fax Number	:

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

Provider Enumeration Date	:	09/21/2014
Last Update Date	:	09/21/2014

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