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NPI Code Detail

MEDICARE: MS. IRENE E KLATS OTR/L

MEDICARE: MS. IRENE E KLATS 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 Therapist017111NY

General Provider Information

NPI Number : 1811265119
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. IRENE E KLATS OTR/L
Provider Business Mailing Address
First Line : 1071 E 14TH ST
Second Line : FIRST FLOOR
City : BROOKLYN
State : NY
Zip : 11230-4393
Country : US
Telephone Number : 718-200-7412
Fax Number :
Provider Business Practice Location Address
First Line : 1071 E 14TH ST
Second Line : FIRST FLOOR
City : BROOKLYN
State : NY
Zip : 11230-4393
Country : US
Telephone Number : 347-312-6624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2011
Last Update Date : 04/01/2021

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