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NPI Code Detail

MEDICARE: TAMARA HARVEY OT, OTD

MEDICARE: TAMARA HARVEY OT, OTD
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 Therapist125095TX

General Provider Information

NPI Number : 1205797297
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA HARVEY OT, OTD
Provider Business Mailing Address
First Line : 5516 RICHARD AVE
Second Line :
City : DALLAS
State : TX
Zip : 75206-6716
Country : US
Telephone Number : 805-434-7121
Fax Number :
Provider Business Practice Location Address
First Line : 5516 RICHARD AVE
Second Line :
City : DALLAS
State : TX
Zip : 75206-6716
Country : US
Telephone Number : 805-434-7121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2025
Last Update Date : 11/19/2025

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