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NPI Code Detail

MEDICARE: MRS. ALISA LYNN MCCARTHY OTRL

MEDICARE: MRS. ALISA LYNN MCCARTHY OTRL
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
1174400000XSpecialistOT9014FL

General Provider Information

NPI Number : 1427250240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALISA LYNN MCCARTHY OTRL
Provider Business Mailing Address
First Line : 6016 ANVIL AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34243-5334
Country : US
Telephone Number : 941-301-7332
Fax Number : 941-358-7950
Provider Business Practice Location Address
First Line : 5255 OFFICE PARK BLVD STE 107
Second Line :
City : BRADENTON
State : FL
Zip : 34203-3443
Country : US
Telephone Number : 941-301-7332
Fax Number : 941-358-7950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 08/22/2016

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