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NPI Code Detail

MEDICARE: ALLISON LEARY

MEDICARE: ALLISON LEARY
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 Therapist

General Provider Information

NPI Number : 1982173662
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON LEARY
Provider Business Mailing Address
First Line : 85 BEAUMONT DR
Second Line :
City : NORTHBRIDGE
State : MA
Zip : 01534-1093
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 BEAUMONT DR
Second Line :
City : NORTHBRIDGE
State : MA
Zip : 01534-1093
Country : US
Telephone Number : 508-234-9771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2018
Last Update Date : 11/25/2018

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Directions to “ ALLISON LEARY ” Practice Location

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