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NPI Code Detail

MEDICARE: MS. ALLEGRA OSBORNE

MEDICARE: MS. ALLEGRA OSBORNE
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 Therapist1157CA
2225X00000XOccupational Therapist9801MA

General Provider Information

NPI Number : 1982823811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALLEGRA OSBORNE
Provider Business Mailing Address
First Line : 33 LEAD MINE RD
Second Line :
City : LEVERETT
State : MA
Zip : 01054-9524
Country : US
Telephone Number : 413-992-7872
Fax Number : 413-992-7872
Provider Business Practice Location Address
First Line : 30 OLD LYMAN RD
Second Line :
City : SOUTH HADLEY
State : MA
Zip : 01075-2630
Country : US
Telephone Number : 413-283-3267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 12/10/2010

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Directions to “ MS. ALLEGRA OSBORNE ” Practice Location

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