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NPI Code Detail

MEDICARE: MISS ELISE TARAYNE SCHOFIELD COTA/L

MEDICARE: MISS ELISE TARAYNE SCHOFIELD COTA/L
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 AssistantA01537MD

General Provider Information

NPI Number : 1063689396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELISE TARAYNE SCHOFIELD COTA/L
Provider Business Mailing Address
First Line : 16405 NORTHCROSS DR
Second Line : G-2
City : HUNTERSVILLE
State : NC
Zip : 28078-5091
Country : US
Telephone Number : 888-330-6907
Fax Number : 480-393-4115
Provider Business Practice Location Address
First Line : 11100 ASBURY CIR
Second Line :
City : SOLOMONS
State : MD
Zip : 20688-3004
Country : US
Telephone Number : 410-394-3029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2008
Last Update Date : 05/15/2008

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Directions to “ MISS ELISE TARAYNE SCHOFIELD COTA/L” Practice Location

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