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NPI Code Detail

MEDICARE: MEREDITH MARLOWE OTR/L

MEDICARE: MEREDITH MARLOWE 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 Therapist5186SC

General Provider Information

NPI Number : 1104328707
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH MARLOWE OTR/L
Provider Business Mailing Address
First Line : 300 NEWTONMORE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-2730
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 204 SHADY PINES CT
Second Line :
City : FOUNTAIN INN
State : SC
Zip : 29644-9785
Country : US
Telephone Number : 864-408-9509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2018
Last Update Date : 02/28/2018

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Directions to “ MEREDITH MARLOWE OTR/L” Practice Location

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