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NPI Code Detail

MEDICARE: LADONNA MEIKLE OT

MEDICARE: LADONNA MEIKLE 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
1225X00000XOccupational Therapist15190FL

General Provider Information

NPI Number : 1164872313
Entity Type Code : Individual
Provider Name (Legal Business Name) : LADONNA MEIKLE OT
Provider Business Mailing Address
First Line : 5065 WALLIS RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-1947
Country : US
Telephone Number : 561-689-1799
Fax Number :
Provider Business Practice Location Address
First Line : 5065 WALLIS RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-1947
Country : US
Telephone Number : 561-689-1799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 06/20/2016

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