MEDICARE: OCCUPATIONAL THERAPY CONSULTING SERVICES, LLC

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	225XG0600X	Gerontology Occupational Therapist

General Provider Information

NPI Number	:	1538705884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCCUPATIONAL THERAPY CONSULTING SERVICES, LLC

Provider Business Mailing Address
First Line	:	1722 DRY CREEK RD
Second Line	:
City	:	EAGLE POINT
State	:	OR
Zip	:	97524-7909
Country	:	US
Telephone Number	:	541-831-3381
Fax Number	:

Provider Business Practice Location Address
First Line	:	1722 DRY CREEK RD
Second Line	:
City	:	EAGLE POINT
State	:	OR
Zip	:	97524-7909
Country	:	US
Telephone Number	:	541-830-3381
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST/OWNER
Name	:	MS. KELLY ELAINE LAMBERT
Credential	:	OTR/L
Telephone Number	:	541-840-9813

Provider Enumeration Date	:	11/21/2019
Last Update Date	:	11/21/2019

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