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NPI Code Detail

MEDICARE: SAVANNAH PAIGE WELCH OT

MEDICARE: SAVANNAH PAIGE WELCH OT
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
1225XP0200XPediatric Occupational TherapistOT007495GA

General Provider Information

NPI Number : 1164073995
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH PAIGE WELCH OT
Provider Business Mailing Address
First Line : 4212 CORAL PARK DR
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-3016
Country : US
Telephone Number : 912-342-8875
Fax Number : 912-265-0041
Provider Business Practice Location Address
First Line : 1110 S PIERCE ST STE A
Second Line :
City : ALMA
State : GA
Zip : 31510-3718
Country : US
Telephone Number : 912-342-8875
Fax Number : 912-265-0041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2019
Last Update Date : 09/23/2019

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Directions to “ SAVANNAH PAIGE WELCH OT” Practice Location

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