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NPI Code Detail

MEDICARE: NAKAYLA GUIMOND

MEDICARE: NAKAYLA GUIMOND
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 Therapist0119009895VA

General Provider Information

NPI Number : 1447953609
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAKAYLA GUIMOND
Provider Business Mailing Address
First Line : 128 FAYETTE ST
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-2620
Country : US
Telephone Number : 276-352-4465
Fax Number : 276-293-1212
Provider Business Practice Location Address
First Line : 128 FAYETTE ST
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-2620
Country : US
Telephone Number : 276-352-4465
Fax Number : 276-293-1212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2023
Last Update Date : 03/24/2023

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Directions to “ NAKAYLA GUIMOND ” Practice Location

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