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NPI Code Detail

MEDICARE: AUDRA WEINSTEIN RICE OT

MEDICARE: AUDRA WEINSTEIN RICE OT
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
1225XH1200XHand Occupational TherapistOT2502FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00779271OTHERFLMEDICARE RAILROAD

General Provider Information

NPI Number : 1740270495
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDRA WEINSTEIN RICE OT
Provider Business Mailing Address
First Line : 13020 N TELECOM PKWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0925
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-972-5055
Provider Business Practice Location Address
First Line : 6117 GUNN HWY
Second Line :
City : TAMPA
State : FL
Zip : 33625-4013
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-558-6187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 06/21/2021

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