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NPI Code Detail

MEDICARE: AMBER SIMMONS MOTR/L

MEDICARE:   AMBER  SIMMONS  MOTR/L
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 Therapist1567WV
2225X00000XOccupational Therapist07214MD
3225X00000XOccupational TherapistOTO10001090DC

General Provider Information

NPI Number : 1043582448
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER SIMMONS MOTR/L
Provider Business Mailing Address
First Line : 3701 INTERNATIONAL DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-1556
Country : US
Telephone Number : 301-438-3023
Fax Number :
Provider Business Practice Location Address
First Line : 3701 INTERNATIONAL DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-1556
Country : US
Telephone Number : 301-438-3023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2012
Last Update Date : 11/03/2015

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Directions to “ AMBER SIMMONS MOTR/L” Practice Location

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