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NPI Code Detail

MEDICARE: VICTORIA GUGGENBILLER OTR/L

MEDICARE:   VICTORIA  GUGGENBILLER  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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1205381878
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA GUGGENBILLER OTR/L
Provider Business Mailing Address
First Line : 1885 LAKE AVE
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2551
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1885 LAKE AVE
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2551
Country : US
Telephone Number : 440-324-5777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2016
Last Update Date : 12/30/2016

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Directions to “ VICTORIA GUGGENBILLER OTR/L” Practice Location

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