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NPI Code Detail

MEDICARE: JENNIFER COSBEY

MEDICARE: JENNIFER COSBEY
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 Therapist75356NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
175356OTHERNMLICENSE

General Provider Information

NPI Number : 1821150004
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER COSBEY
Provider Business Mailing Address
First Line : PO BOX 70203
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85737-9998
Country : US
Telephone Number : 505-450-5297
Fax Number :
Provider Business Practice Location Address
First Line : 16428 E KINGSTREE BLVD
Second Line :
City : FOUNTAIN HILLS
State : AZ
Zip : 85268-5440
Country : US
Telephone Number : 480-837-4565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 08/01/2013

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