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NPI Code Detail

MEDICARE: LYNN HARWELL OTR

MEDICARE: LYNN HARWELL OTR
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 Therapist13129FL

General Provider Information

NPI Number : 1144633918
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN HARWELL OTR
Provider Business Mailing Address
First Line : 685 CARMEL LN
Second Line :
City : POINCIANA
State : FL
Zip : 34759-6119
Country : US
Telephone Number : 347-752-3071
Fax Number :
Provider Business Practice Location Address
First Line : 625 OVERLOOK DR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-1626
Country : US
Telephone Number : 863-229-5994
Fax Number : 863-662-3926
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2014
Last Update Date : 06/30/2014

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