MEDICARE: MRS. LAURA JOAN CAMERON 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
1	225X00000X	Occupational Therapist	9268	MA

General Provider Information

NPI Number	:	1528183803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA JOAN CAMERON OTR/L

Provider Business Mailing Address
First Line	:	32 PALERMO ST
Second Line	:
City	:	METHUEN
State	:	MA
Zip	:	01844-5827
Country	:	US
Telephone Number	:	978-655-3082
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 CHICKERING RD
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-1928
Country	:	US
Telephone Number	:	978-681-9397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	12/28/2011

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