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NPI Code Detail

MEDICARE: AMBER LYNN AMEREDES MOTRL

MEDICARE: AMBER LYNN AMEREDES MOTRL
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 Therapist6264NC

General Provider Information

NPI Number : 1780880922
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LYNN AMEREDES MOTRL
Provider Business Mailing Address
First Line : 3673 GLENBARRY CIR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28314-2605
Country : US
Telephone Number : 910-778-9734
Fax Number :
Provider Business Practice Location Address
First Line : 1601 PURDUE DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3674
Country : US
Telephone Number : 910-488-1093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 07/08/2007

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Directions to “ AMBER LYNN AMEREDES MOTRL” Practice Location

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