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NPI Code Detail

MEDICARE: GERALDINE FERNANDEZ LIGON OTR/L

MEDICARE: GERALDINE FERNANDEZ LIGON 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 Therapist46TR01079800NJ

General Provider Information

NPI Number : 1871214155
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE FERNANDEZ LIGON OTR/L
Provider Business Mailing Address
First Line : 32 CROSSGATE RD UNIT 1
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-1206
Country : US
Telephone Number : 551-482-7269
Fax Number :
Provider Business Practice Location Address
First Line : 1270 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2260
Country : US
Telephone Number : 718-473-3808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2022
Last Update Date : 06/28/2023

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