MEDICARE: RENE LAMM 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
1	225X00000X	Occupational Therapist	016116-1	NY

General Provider Information

NPI Number	:	1427358746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENE LAMM OTR/L

Provider Business Mailing Address
First Line	:	1157 E 32ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4734
Country	:	US
Telephone Number	:	718-377-8411
Fax Number	:

Provider Business Practice Location Address
First Line	:	1157 E 32ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4734
Country	:	US
Telephone Number	:	718-377-8411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	12/16/2010

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Directions to “ RENE LAMM OTR/L” Practice Location

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