MEDICARE: BRITTANY MUSE

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	OT.008968	OH

General Provider Information

NPI Number	:	1245615806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MUSE

Provider Business Mailing Address
First Line	:	3615 GRAYBECK DRIVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204
Country	:	US
Telephone Number	:	606-776-2124
Fax Number	:

Provider Business Practice Location Address
First Line	:	3615 GRAYBECK DRIVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204
Country	:	US
Telephone Number	:	606-776-2124
Fax Number	:

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

Provider Enumeration Date	:	07/24/2015
Last Update Date	:	07/24/2015

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Directions to “ BRITTANY MUSE ” Practice Location

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