MEDICARE: ARWIN DELFIN 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	225X00000X	Occupational Therapist	115285	TX

General Provider Information

NPI Number	:	1144791724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARWIN DELFIN OTR/L

Provider Business Mailing Address
First Line	:	2224 CONDIGN DR APT 4120
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1631
Country	:	US
Telephone Number	:	352-445-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 OAKMONT BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4200
Country	:	US
Telephone Number	:	817-346-8080
Fax Number	:

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

Provider Enumeration Date	:	12/07/2018
Last Update Date	:	12/07/2018

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