MEDICARE: MS. LINDA M LEIMBACH 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
1	225X00000X	Occupational Therapist	01706	MD
2	225X00000X	Occupational Therapist	OC009379	PA

General Provider Information

NPI Number	:	1942467311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA M LEIMBACH OTR

Provider Business Mailing Address
First Line	:	5079 NORRISVILLE RD
Second Line	:
City	:	WHITE HALL
State	:	MD
Zip	:	21161-9503
Country	:	US
Telephone Number	:	410-557-4622
Fax Number	:

Provider Business Practice Location Address
First Line	:	5079 NORRISVILLE RD
Second Line	:
City	:	WHITE HALL
State	:	MD
Zip	:	21161-9503
Country	:	US
Telephone Number	:	410-557-4622
Fax Number	:

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

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	05/21/2008

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