MEDICARE: JAYLEN ARMAN DUPREE OTD

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
1	225XP0019X	Physical Rehabilitation Occupational Therapist	6874	AL

General Provider Information

NPI Number	:	1831050095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYLEN ARMAN DUPREE OTD

Provider Business Mailing Address
First Line	:	4432 MAYSVILLE RD NE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35811-8037
Country	:	US
Telephone Number	:	256-509-4398
Fax Number	:	800-317-4728

Provider Business Practice Location Address
First Line	:	4432 MAYSVILLE RD NE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35811-8037
Country	:	US
Telephone Number	:	256-509-4398
Fax Number	:	800-317-4728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	01/21/2026

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