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NPI Code Detail

MEDICARE: DION AGADA MOT, OTR/L

MEDICARE: DION AGADA MOT, 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 Therapist0119008386VA

General Provider Information

NPI Number : 1124652524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DION AGADA MOT, OTR/L
Provider Business Mailing Address
First Line : 3611 BOULEVARD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1344
Country : US
Telephone Number : 804-526-2816
Fax Number :
Provider Business Practice Location Address
First Line : 3611 BOULEVARD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1344
Country : US
Telephone Number : 804-526-2816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2020
Last Update Date : 02/08/2021

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Directions to “ DION AGADA MOT, OTR/L” Practice Location

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