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NPI Code Detail

MEDICARE: COURTNEY CLAIRE LUBER OTR/L

MEDICARE: COURTNEY CLAIRE LUBER 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.6027SC

General Provider Information

NPI Number : 1699378851
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY CLAIRE LUBER OTR/L
Provider Business Mailing Address
First Line : 1108 S MAIN ST UNIT 134
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3362
Country : US
Telephone Number : 618-979-1137
Fax Number :
Provider Business Practice Location Address
First Line : 1990 AUGUSTA ST STE 2500
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-6510
Country : US
Telephone Number : 864-370-0131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ COURTNEY CLAIRE LUBER OTR/L” Practice Location

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