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NPI Code Detail

MEDICARE: CARLISLE BLAND OTR/L, CHT

MEDICARE: CARLISLE BLAND OTR/L, CHT
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 TherapistOT010001196DC

General Provider Information

NPI Number : 1912363391
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLISLE BLAND OTR/L, CHT
Provider Business Mailing Address
First Line : 106 IRVING ST NW STE 5000
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2981
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 IRVING ST NW STE 5000
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2981
Country : US
Telephone Number : 202-877-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2016
Last Update Date : 10/30/2024

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Directions to “ CARLISLE BLAND OTR/L, CHT” Practice Location

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