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NPI Code Detail

MEDICARE: ERIC L. MYERS OTR,L

MEDICARE: ERIC L. MYERS 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
1225X00000XOccupational TherapistOT-004631OH

General Provider Information

NPI Number : 1356563068
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC L. MYERS OTR,L
Provider Business Mailing Address
First Line : 1812 ELDON DR
Second Line :
City : WICKLIFFE
State : OH
Zip : 44092-1535
Country : US
Telephone Number : 440-516-1536
Fax Number :
Provider Business Practice Location Address
First Line : 36855 RIDGE RD
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-4128
Country : US
Telephone Number : 440-942-4342
Fax Number : 440-942-4150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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