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NPI Code Detail

MEDICARE: INDIA LAMBOY MOT, OTR/L

MEDICARE: INDIA LAMBOY MOT, 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 Therapist7201TN
2225X00000XOccupational Therapist15376NC

General Provider Information

NPI Number : 1366172413
Entity Type Code : Individual
Provider Name (Legal Business Name) : INDIA LAMBOY MOT, OTR/L
Provider Business Mailing Address
First Line : 35 FENWICK RD
Second Line :
City : RIVERSIDE
State : RI
Zip : 02915-1419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 704 LOUISE AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2128
Country : US
Telephone Number : 704-887-5116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 12/22/2025

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