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NPI Code Detail

MEDICARE: MICHELLE ABBOTT

MEDICARE: MICHELLE ABBOTT
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 Therapist113637TX

General Provider Information

NPI Number : 1194291757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ABBOTT
Provider Business Mailing Address
First Line : 2600 PARKVIEW LN
Second Line :
City : BEDFORD
State : TX
Zip : 76022-7989
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 PARKVIEW LN
Second Line :
City : BEDFORD
State : TX
Zip : 76022-7989
Country : US
Telephone Number : 817-354-6556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2018
Last Update Date : 10/22/2018

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Directions to “ MICHELLE ABBOTT ” Practice Location

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