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NPI Code Detail

MEDICARE: JOANNE DARR

MEDICARE: JOANNE DARR
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
1224Z00000XOccupational Therapy Assistant04602OH

General Provider Information

NPI Number : 1013334861
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE DARR
Provider Business Mailing Address
First Line : 34600 BAINBRIDGE RD
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-4073
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34600 BAINBRIDGE RD
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-4073
Country : US
Telephone Number : 440-610-6089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2014
Last Update Date : 03/18/2014

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Directions to “ JOANNE DARR ” Practice Location

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