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NPI Code Detail

MEDICARE: BRIELLE SCHILDKRAUT

MEDICARE: BRIELLE SCHILDKRAUT
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 Therapist18515FL

General Provider Information

NPI Number : 1912422130
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIELLE SCHILDKRAUT
Provider Business Mailing Address
First Line : 20840 SUGARLOAF LN
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-1126
Country : US
Telephone Number : 561-716-2381
Fax Number :
Provider Business Practice Location Address
First Line : 1955 N FEDERAL HWY UNIT 253
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-1036
Country : US
Telephone Number : 954-580-2520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2017
Last Update Date : 08/09/2017

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Directions to “ BRIELLE SCHILDKRAUT ” Practice Location

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