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NPI Code Detail

MEDICARE: SKYLAR PULLIAM

MEDICARE: SKYLAR PULLIAM
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 AssistantDC

General Provider Information

NPI Number : 1134070782
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYLAR PULLIAM
Provider Business Mailing Address
First Line : 2542 NAYLOR RD SE APT T1
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-4052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5000 NANNIE HELEN BURROUGHS AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-5506
Country : US
Telephone Number : 202-399-7504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ SKYLAR PULLIAM ” Practice Location

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