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NPI Code Detail

MEDICARE: VIJI LINMAN OT

MEDICARE:   VIJI  LINMAN  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
1225X00000XOccupational Therapist107547TX

General Provider Information

NPI Number : 1902939150
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIJI LINMAN OT
Provider Business Mailing Address
First Line : 5701 MAPLE AVE
Second Line : STE. 100
City : DALLAS
State : TX
Zip : 75235-6519
Country : US
Telephone Number : 214-351-6600
Fax Number : 214-351-6453
Provider Business Practice Location Address
First Line : 5701 MAPLE AVE
Second Line : STE. 100
City : DALLAS
State : TX
Zip : 75235-6519
Country : US
Telephone Number : 214-351-6600
Fax Number : 214-351-6453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ VIJI LINMAN OT” Practice Location

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