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NPI Code Detail

MEDICARE: ERIC REIMER OTR/L

MEDICARE:   ERIC  REIMER  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 Therapist2600AZ

Other Identifiers

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

General Provider Information

NPI Number : 1770664930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC REIMER OTR/L
Provider Business Mailing Address
First Line : 29834 N CAVE CREEK RD
Second Line : STE. 118 PMB-241
City : CAVE CREEK
State : AZ
Zip : 85331-5836
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5314 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-2805
Country : US
Telephone Number : 602-277-5006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 09/06/2012

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Directions to “ ERIC REIMER OTR/L” Practice Location

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