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NPI Code Detail

MEDICARE: KATHRYN SHARP OT/L

MEDICARE: KATHRYN SHARP OT/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
1225XP0200XPediatric Occupational Therapist00748IA

General Provider Information

NPI Number : 1457742900
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN SHARP OT/L
Provider Business Mailing Address
First Line : 1915 PHILADELPHIA ST
Second Line :
City : AMES
State : IA
Zip : 50010-8768
Country : US
Telephone Number : 515-232-7220
Fax Number : 515-232-3834
Provider Business Practice Location Address
First Line : 1915 PHILADELPHIA ST
Second Line :
City : AMES
State : IA
Zip : 50010-8768
Country : US
Telephone Number : 515-232-7220
Fax Number : 515-232-3834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2015
Last Update Date : 02/05/2015

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