MEDICARE: MR. THOMAS JOSEPH ARMSTRONG OT

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	OT6201	FL

General Provider Information

NPI Number	:	1073885646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS JOSEPH ARMSTRONG OT

Provider Business Mailing Address
First Line	:	4217 SE 9TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-5313
Country	:	US
Telephone Number	:	239-410-0962
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 SANTA BARBARA BLVD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-2803
Country	:	US
Telephone Number	:	239-772-1333
Fax Number	:

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

Provider Enumeration Date	:	01/29/2012
Last Update Date	:	01/29/2012

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