MEDICARE: ABIGAIL GIRARD OTD, 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

General Provider Information

NPI Number	:	1285586362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL GIRARD OTD, OTR/L

Provider Business Mailing Address
First Line	:	19740 E 39TH PL S APT 4304
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64057-2482
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 S M 291 HWY
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64057
Country	:	US
Telephone Number	:	816-373-9328
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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