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NPI Code Detail

MEDICARE: SARAH CLEMSON DUCKWORTH OTD

MEDICARE: SARAH CLEMSON DUCKWORTH 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 Therapist6168AL

General Provider Information

NPI Number : 1255014916
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CLEMSON DUCKWORTH OTD
Provider Business Mailing Address
First Line : 2948 ALTADENA RIDGE DR
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-4724
Country : US
Telephone Number : 205-602-3830
Fax Number :
Provider Business Practice Location Address
First Line : 2151 OLD ROCKY RIDGE RD STE 100
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-7251
Country : US
Telephone Number : 205-583-2883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2023
Last Update Date : 08/09/2023

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Directions to “ SARAH CLEMSON DUCKWORTH OTD” Practice Location

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