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NPI Code Detail

MEDICARE: MARKELLE LANE BLAIR OTR

MEDICARE: MARKELLE LANE BLAIR OTR
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 TherapistOC006216LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OC006216LOTHERPAPA STATE LICENSE NUMBER

General Provider Information

NPI Number : 1457494494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARKELLE LANE BLAIR OTR
Provider Business Mailing Address
First Line : 2631 W 8TH ST
Second Line :
City : ERIE
State : PA
Zip : 16505-4034
Country : US
Telephone Number : 814-464-0627
Fax Number : 814-464-0629
Provider Business Practice Location Address
First Line : 2631 W 8TH ST
Second Line :
City : ERIE
State : PA
Zip : 16505-4034
Country : US
Telephone Number : 814-464-0627
Fax Number : 814-464-0629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 10/01/2019

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Directions to “ MARKELLE LANE BLAIR OTR” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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