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NPI Code Detail

MEDICARE: TERRI LYNN GUYANT OTR

MEDICARE: TERRI LYNN GUYANT OTR
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
1225XP0200XPediatric Occupational Therapist2426026WI

General Provider Information

NPI Number : 1922031673
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI LYNN GUYANT OTR
Provider Business Mailing Address
First Line : 3083 BRIDLE PASS
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-9397
Country : US
Telephone Number : 608-837-7943
Fax Number :
Provider Business Practice Location Address
First Line : 1223 MADISON ST
Second Line :
City : BEAVER DAM
State : WI
Zip : 53916-2629
Country : US
Telephone Number : 920-885-4750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 07/08/2007

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Directions to “ TERRI LYNN GUYANT OTR” Practice Location

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