MEDICARE: ERIKA L. KEMP 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
1	225X00000X	Occupational Therapist	4317-026	WI
2	225X00000X	Occupational Therapist	5759	OH

General Provider Information

NPI Number	:	1245286665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA L. KEMP OTR/L

Provider Business Mailing Address
First Line	:	610 TRACHT MEADOWS DR
Second Line	:
City	:	HURON
State	:	OH
Zip	:	44839-1039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4806 TIMBER COMMONS DR
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-7161
Country	:	US
Telephone Number	:	419-621-1166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	08/14/2013

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