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NPI Code Detail

MEDICARE: MS. CAROLYN A. CHENOWITH OTR/L

MEDICARE:  MS. CAROLYN A. CHENOWITH  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
1174400000XSpecialist6319FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508887159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN A. CHENOWITH OTR/L
Provider Business Mailing Address
First Line : 7053 TALL PINE RD
Second Line :
City : POLK CITY
State : FL
Zip : 33868-9355
Country : US
Telephone Number : 863-712-1452
Fax Number :
Provider Business Practice Location Address
First Line : 7053 TALL PINE RD
Second Line :
City : POLK CITY
State : FL
Zip : 33868
Country : US
Telephone Number : 863-712-1452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 04/27/2019

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Directions to “ MS. CAROLYN A. CHENOWITH OTR/L” Practice Location

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