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NPI Code Detail

MEDICARE: MRS. LORI SUE BEATTY OTR/L

MEDICARE: MRS. LORI SUE BEATTY 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
1225XP0019XPhysical Rehabilitation Occupational Therapist8616NC

General Provider Information

NPI Number : 1518454008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI SUE BEATTY OTR/L
Provider Business Mailing Address
First Line : 5 WALNUT LN
Second Line :
City : FLETCHER
State : NC
Zip : 28732-9481
Country : US
Telephone Number : 240-338-5063
Fax Number :
Provider Business Practice Location Address
First Line : 2360 SWEETEN CREEK RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-2030
Country : US
Telephone Number : 828-274-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2018
Last Update Date : 04/19/2018

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