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NPI Code Detail

MEDICARE: MS. CAROLYN SMITH ROYSTER OTR/L

MEDICARE:  MS. CAROLYN  SMITH ROYSTER  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 Therapist6189NC

General Provider Information

NPI Number : 1245420454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN SMITH ROYSTER OTR/L
Provider Business Mailing Address
First Line : 500 PROSPECT AVE
Second Line :
City : OXFORD
State : NC
Zip : 27565-2543
Country : US
Telephone Number : 919-692-1005
Fax Number : 919-692-1005
Provider Business Practice Location Address
First Line : 500 PROSPECT AVE
Second Line :
City : OXFORD
State : NC
Zip : 27565-2543
Country : US
Telephone Number : 919-692-1005
Fax Number : 919-692-1005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2007
Last Update Date : 11/07/2019

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Directions to “ MS. CAROLYN SMITH ROYSTER OTR/L” Practice Location

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