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NPI Code Detail

MEDICARE: LAURA CHENOWETH

MEDICARE: LAURA CHENOWETH
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 Assistant32000999AIN

General Provider Information

NPI Number : 1104534999
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CHENOWETH
Provider Business Mailing Address
First Line : 80 JENKINS LN
Second Line :
City : SULLIVAN
State : IN
Zip : 47882-7054
Country : US
Telephone Number : 812-564-0111
Fax Number :
Provider Business Practice Location Address
First Line : 505 W WOLFE ST
Second Line :
City : SULLIVAN
State : IN
Zip : 47882-9224
Country : US
Telephone Number : 812-268-6361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2022
Last Update Date : 11/09/2022

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Directions to “ LAURA CHENOWETH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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