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NPI Code Detail

MEDICARE: LYNN HARMON MS OTR/L

MEDICARE: LYNN HARMON MS 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 Therapist0119005311VA

General Provider Information

NPI Number : 1134538143
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN HARMON MS OTR/L
Provider Business Mailing Address
First Line : 8606 HAMPTON CREST CIR
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-1913
Country : US
Telephone Number : 804-514-6122
Fax Number :
Provider Business Practice Location Address
First Line : 12001 IRON BRIDGE RD
Second Line :
City : CHESTER
State : VA
Zip : 23831-1460
Country : US
Telephone Number : 804-706-1023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2014
Last Update Date : 08/05/2014

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