MEDICARE: HILARY LAUREN VASHER

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	225X00000X	Occupational Therapist	18346	FL

General Provider Information

NPI Number	:	1891250866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY LAUREN VASHER

Provider Business Mailing Address
First Line	:	3420 S SAN MATEO DR
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-8215
Country	:	US
Telephone Number	:	989-400-0816
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 S SAN MATEO DR
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-8215
Country	:	US
Telephone Number	:	989-400-0816
Fax Number	:

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

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	02/04/2019

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