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NPI Code Detail

MEDICARE: MR. AMIT SHARMA OTR

MEDICARE:  MR. AMIT  SHARMA  OTR
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 Therapist31001826AIN

General Provider Information

NPI Number : 1063061349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AMIT SHARMA OTR
Provider Business Mailing Address
First Line : 4180 SAGE BLUFF XING
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-2363
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4180 SAGE BLUFF XING
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-2363
Country : US
Telephone Number : 260-443-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2019
Last Update Date : 09/09/2019

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