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NPI Code Detail

MEDICARE: MRS. JANET K SCUDDER OTR/L

MEDICARE: MRS. JANET K SCUDDER 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 TherapistOT.002342OH

General Provider Information

NPI Number : 1588840458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET K SCUDDER OTR/L
Provider Business Mailing Address
First Line : 8120 GARNET DR
Second Line :
City : DAYTON
State : OH
Zip : 45458-2141
Country : US
Telephone Number : 937-291-2523
Fax Number :
Provider Business Practice Location Address
First Line : 8120 GARNET DR
Second Line :
City : DAYTON
State : OH
Zip : 45458-2141
Country : US
Telephone Number : 937-291-2523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 06/27/2010

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