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NPI Code Detail

MEDICARE: CAMERON LIVINGSTONE

MEDICARE:   CAMERON  LIVINGSTONE
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 Therapist0119009368VA

General Provider Information

NPI Number : 1033866181
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON LIVINGSTONE
Provider Business Mailing Address
First Line : 128 FAYETTE ST
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-2620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 128 FAYETTE ST
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-2620
Country : US
Telephone Number : 276-352-4465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2022
Last Update Date : 03/08/2022

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Directions to “ CAMERON LIVINGSTONE ” Practice Location

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