MEDICARE: ERIN JAMES OT

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

General Provider Information

NPI Number	:	1902100449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN JAMES OT

Provider Business Mailing Address
First Line	:	204 BIRCHWOOD LN
Second Line	:
City	:	JEFFERSON TOWNSHIP
State	:	PA
Zip	:	18436-4643
Country	:	US
Telephone Number	:	570-313-9331
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 BIRCHWOOD LN
Second Line	:
City	:	JEFFERSON TOWNSHIP
State	:	PA
Zip	:	18436-4643
Country	:	US
Telephone Number	:	570-313-9331
Fax Number	:	570-313-9331

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

Provider Enumeration Date	:	12/24/2010
Last Update Date	:	03/17/2018

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