MEDICARE: RUTH MARIE ATWOOD MS, OT/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
1	225X00000X	Occupational Therapist	OC002968L	PA

General Provider Information

NPI Number	:	1215352455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH MARIE ATWOOD MS, OT/L

Provider Business Mailing Address
First Line	:	910 ALEXANDER SPRING RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-9183
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 ALEXANDER SPRING RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-9183
Country	:	US
Telephone Number	:	717-386-9287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2014
Last Update Date	:	02/25/2014

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