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NPI Code Detail

MEDICARE: MS. REAGAN JANAE SCOTT O.T.R./L.

MEDICARE: MS. REAGAN JANAE SCOTT O.T.R./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 TherapistOTR-583WY

General Provider Information

NPI Number : 1154385748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REAGAN JANAE SCOTT O.T.R./L.
Provider Business Mailing Address
First Line : PO BOX 1790
Second Line :
City : DOUGLAS
State : WY
Zip : 82633-1790
Country : US
Telephone Number : 307-358-9464
Fax Number : 307-358-9330
Provider Business Practice Location Address
First Line : 111 S 5TH ST
Second Line :
City : DOUGLAS
State : WY
Zip : 82633-2434
Country : US
Telephone Number : 307-358-9464
Fax Number : 307-358-9330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 06/24/2015

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