MEDICARE: MRS. MICHELLE ORLANDO I LOT

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	105792	TX

General Provider Information

NPI Number	:	1104915826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE ORLANDO I LOT

Provider Business Mailing Address
First Line	:	4544 S LAMAR BLVD
Second Line	:	SUITE 750
City	:	AUSTIN
State	:	TX
Zip	:	78745-1500
Country	:	US
Telephone Number	:	512-892-7900
Fax Number	:	512-280-9298

Provider Business Practice Location Address
First Line	:	4544 S LAMAR BLVD
Second Line	:	SUITE 750
City	:	AUSTIN
State	:	TX
Zip	:	78745-1500
Country	:	US
Telephone Number	:	512-892-7900
Fax Number	:	512-280-9298

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	04/14/2008

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Directions to “ MRS. MICHELLE ORLANDO I LOT” Practice Location

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