MEDICARE: ASYAH MYERS

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	224Z00000X	Occupational Therapy Assistant

General Provider Information

NPI Number	:	1285395558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASYAH MYERS

Provider Business Mailing Address
First Line	:	1045 NW 128TH TER
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-6530
Country	:	US
Telephone Number	:	305-992-1744
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 NW 128TH TER
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-6530
Country	:	US
Telephone Number	:	305-992-1744
Fax Number	:

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

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	09/13/2022

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Directions to “ ASYAH MYERS ” Practice Location

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