MEDICARE: BELIEVE IT AND ACHIEVE IT

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

General Provider Information

NPI Number	:	1356849707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELIEVE IT AND ACHIEVE IT

Provider Business Mailing Address
First Line	:	19120 ANDREA LYNN LN
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4391
Country	:	US
Telephone Number	:	813-422-9110
Fax Number	:

Provider Business Practice Location Address
First Line	:	19120 ANDREA LYNN LN
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4391
Country	:	US
Telephone Number	:	813-422-9110
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/DIRECTOR
Name	:	MRS. KIMBERLY LAMKE
Credential	:	MS OTR/L
Telephone Number	:	813-422-9110

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	01/30/2018

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