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NPI Code Detail

MEDICARE: NAJIYYAH COVINGTON LEWIS OTR/L

MEDICARE: NAJIYYAH COVINGTON LEWIS 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 Therapist6315NC

General Provider Information

NPI Number : 1780876813
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAJIYYAH COVINGTON LEWIS OTR/L
Provider Business Mailing Address
First Line : 3160 RUTH CT
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-6100
Country : US
Telephone Number : 252-561-5590
Fax Number :
Provider Business Practice Location Address
First Line : 12400 HIGH BLUFF DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-3077
Country : US
Telephone Number : 866-353-6685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 01/14/2013

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