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NPI Code Detail

MEDICARE: JENNIFER SUSAN ALBRIGHT OTR/L

MEDICARE: JENNIFER SUSAN ALBRIGHT 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
1225XP0200XPediatric Occupational Therapist6278NC

General Provider Information

NPI Number : 1902069321
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER SUSAN ALBRIGHT OTR/L
Provider Business Mailing Address
First Line : 3905 UNIVERSITY DR
Second Line :
City : DURHAM
State : NC
Zip : 27707-2517
Country : US
Telephone Number : 919-928-0204
Fax Number : 919-928-9432
Provider Business Practice Location Address
First Line : 3905 UNIVERSITY DR
Second Line :
City : DURHAM
State : NC
Zip : 27707-2517
Country : US
Telephone Number : 919-928-0204
Fax Number : 919-928-9432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 02/21/2012

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