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NPI Code Detail

MEDICARE: BROOKE SAWYER OTR

MEDICARE: BROOKE SAWYER OTR
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 Therapist116241TX

General Provider Information

NPI Number : 1275013161
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE SAWYER OTR
Provider Business Mailing Address
First Line : 11205 CACTUS LN
Second Line :
City : DALLAS
State : TX
Zip : 75238-3803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8615 LULLWATER DR
Second Line :
City : DALLAS
State : TX
Zip : 75238-4754
Country : US
Telephone Number : 214-342-7112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ BROOKE SAWYER OTR” Practice Location

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