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NPI Code Detail

MEDICARE: DAIMARYS ALAMO

MEDICARE: DAIMARYS ALAMO
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 Assistant

General Provider Information

NPI Number : 1093290660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAIMARYS ALAMO
Provider Business Mailing Address
First Line : 526 SE VAN LOON TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-1158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2629 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-5769
Country : US
Telephone Number : 239-574-4434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2018
Last Update Date : 09/30/2018

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Directions to “ DAIMARYS ALAMO ” Practice Location

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