MEDICARE: COURTNEY L. NALEPKA OT

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 10212	FL
2	225X00000X	Occupational Therapist	OT.008181	OH

General Provider Information

NPI Number	:	1841373610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY L. NALEPKA OT

Provider Business Mailing Address
First Line	:	16850 AUBURN SPRINGS DR
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-5124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16850 AUBURN SPRINGS DR
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-5124
Country	:	US
Telephone Number	:	440-555-1212
Fax Number	:

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	02/04/2015

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