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NPI Code Detail

MEDICARE: LINDA D. OWEN

MEDICARE: LINDA D. OWEN
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 Assistant0131-001873VA
2224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1124543160
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA D. OWEN
Provider Business Mailing Address
First Line : 1931 STRAFFORD DR
Second Line :
City : LANCASTER
State : SC
Zip : 29720-8546
Country : US
Telephone Number : 540-230-5241
Fax Number :
Provider Business Practice Location Address
First Line : 2818 AVENUE L
Second Line :
City : FORT MADISON
State : IA
Zip : 52627-3738
Country : US
Telephone Number : 540-230-5241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2017
Last Update Date : 03/05/2019

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