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NPI Code Detail

MEDICARE: ZOE REMILLARD OTR/L

MEDICARE: ZOE REMILLARD OTR/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
1225XP0200XPediatric Occupational Therapist20214CA

General Provider Information

NPI Number : 1306491071
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE REMILLARD OTR/L
Provider Business Mailing Address
First Line : 521 NW OGDEN AVE
Second Line :
City : BEND
State : OR
Zip : 97703-1720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60575 BILLADEAU RD
Second Line :
City : BEND
State : OR
Zip : 97702-9338
Country : US
Telephone Number : 541-389-1848
Fax Number : 541-550-7956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2019
Last Update Date : 09/10/2020

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Directions to “ ZOE REMILLARD OTR/L” Practice Location

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