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NPI Code Detail

MEDICARE: EMILY BUKER OTR

MEDICARE: EMILY BUKER 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
1225XP0200XPediatric Occupational TherapistOT25900FL
2225X00000XOccupational TherapistOT25900FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11174926133OTHERFLDOH

General Provider Information

NPI Number : 1174926133
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BUKER OTR
Provider Business Mailing Address
First Line : 232 DUQUE RD
Second Line :
City : LUTZ
State : FL
Zip : 33549-5633
Country : US
Telephone Number : 813-909-5578
Fax Number :
Provider Business Practice Location Address
First Line : 13540 17TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5244
Country : US
Telephone Number : 813-909-5578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2014
Last Update Date : 03/27/2025

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Directions to “ EMILY BUKER OTR” Practice Location

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