MEDICARE: DR. VICTORIA LYNN HARPER OTD, OTRL

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	OT1782	MS
2	225X00000X	Occupational Therapist	3733	TN
3	225X00000X	Occupational Therapist	OT14638	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1548307069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA LYNN HARPER OTD, OTRL

Provider Business Mailing Address
First Line	:	5350 ARLINGTON EXPY APT 3611
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-6876
Country	:	US
Telephone Number	:	904-729-8646
Fax Number	:

Provider Business Practice Location Address
First Line	:	5350 ARLINGTON EXPY APT 3611
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-6876
Country	:	US
Telephone Number	:	904-729-8646
Fax Number	:

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	06/16/2023

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