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NPI Code Detail

MEDICARE: DANIELLE TAIBI OTR

MEDICARE: DANIELLE TAIBI 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
1225X00000XOccupational Therapist4091CT

General Provider Information

NPI Number : 1841724762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE TAIBI OTR
Provider Business Mailing Address
First Line : 538 BENNETTS FARM RD
Second Line :
City : RIDGEFIELD
State : CT
Zip : 06877-2230
Country : US
Telephone Number : 203-403-5264
Fax Number :
Provider Business Practice Location Address
First Line : 27 GOVERNOR ST
Second Line :
City : RIDGEFIELD
State : CT
Zip : 06877-4657
Country : US
Telephone Number : 203-438-7862
Fax Number : 844-409-2349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2017
Last Update Date : 04/18/2017

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