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NPI Code Detail

MEDICARE: TAMMY NEAL

MEDICARE:   TAMMY  NEAL
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 Therapist3548MA

General Provider Information

NPI Number : 1982093928
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY NEAL
Provider Business Mailing Address
First Line : 4 HAWTHORNE RD
Second Line :
City : KINGSTON
State : MA
Zip : 02364-1322
Country : US
Telephone Number : 781-585-7150
Fax Number :
Provider Business Practice Location Address
First Line : 20 N PARK AVE STE 1300
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-4090
Country : US
Telephone Number : 508-830-0999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2015
Last Update Date : 01/14/2015

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Directions to “ TAMMY NEAL ” Practice Location

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