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NPI Code Detail

MEDICARE: KATHLEEN ANN EMORY OTA/L

MEDICARE: KATHLEEN ANN EMORY OTA/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
1224Z00000XOccupational Therapy Assistant1097NC

General Provider Information

NPI Number : 1295992766
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ANN EMORY OTA/L
Provider Business Mailing Address
First Line : 22 RIPPLING STREAM DR
Second Line :
City : CANDLER
State : NC
Zip : 28715-9119
Country : US
Telephone Number : 828-665-0592
Fax Number :
Provider Business Practice Location Address
First Line : 95 HOLCOMBE COVE RD
Second Line :
City : CANDLER
State : NC
Zip : 28715-9450
Country : US
Telephone Number : 828-667-9851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 05/21/2008

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Directions to “ KATHLEEN ANN EMORY OTA/L” Practice Location

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