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NPI Code Detail

MEDICARE: LINDSAY DERMER MS, OTR/L

MEDICARE:   LINDSAY  DERMER  MS, OTR/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
1225X00000XOccupational Therapist07954MD

General Provider Information

NPI Number : 1083242226
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY DERMER MS, OTR/L
Provider Business Mailing Address
First Line : 48 FARMHOUSE CT
Second Line :
City : BALTIMORE
State : MD
Zip : 21208-1325
Country : US
Telephone Number : 443-375-7050
Fax Number :
Provider Business Practice Location Address
First Line : 12230 ROUNDWOOD RD
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-3233
Country : US
Telephone Number : 410-252-0880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2020
Last Update Date : 04/01/2020

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