MEDICARE: MS. PAIGE BARI HAUSER 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
1	225XP0200X	Pediatric Occupational Therapist	OT16215	FL

General Provider Information

NPI Number	:	1144646100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAIGE BARI HAUSER OTR/L

Provider Business Mailing Address
First Line	:	3440 MEADOW BREEZE LOOP
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4479
Country	:	US
Telephone Number	:	407-765-4105
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 E OAKLAND AVE UNIT B
Second Line	:
City	:	OAKLAND
State	:	FL
Zip	:	34787-3070
Country	:	US
Telephone Number	:	407-654-5455
Fax Number	:	407-654-5829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2014
Last Update Date	:	03/13/2014

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