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NPI Code Detail

MEDICARE: NIDIA ALBALADEJO RODRIGUEZ

MEDICARE: NIDIA ALBALADEJO RODRIGUEZ
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 AssistantOP000761LPA

General Provider Information

NPI Number : 1780277335
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIDIA ALBALADEJO RODRIGUEZ
Provider Business Mailing Address
First Line : 7023 OAKLEY ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-3918
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6401 MARTINS MILL RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-5304
Country : US
Telephone Number : 215-697-8086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2021
Last Update Date : 02/17/2021

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Directions to “ NIDIA ALBALADEJO RODRIGUEZ ” Practice Location

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