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NPI Code Detail

MEDICARE: JOSHUA SCOTT BOMAR OTR/L

MEDICARE: JOSHUA SCOTT BOMAR 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
1225X00000XOccupational Therapist
2225X00000XOccupational Therapist0119011115VA

General Provider Information

NPI Number : 1558240390
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA SCOTT BOMAR OTR/L
Provider Business Mailing Address
First Line : 1040 GABLES DR STE 101
Second Line :
City : FOREST
State : VA
Zip : 24551-4996
Country : US
Telephone Number : 804-508-6499
Fax Number :
Provider Business Practice Location Address
First Line : 1040 GABLES DR STE 101
Second Line :
City : FOREST
State : VA
Zip : 24551-4996
Country : US
Telephone Number : 804-508-6499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2025
Last Update Date : 08/29/2025

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Directions to “ JOSHUA SCOTT BOMAR OTR/L” Practice Location

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