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NPI Code Detail

MEDICARE: BRIANNA JOY LOWE MOT, OTR/L

MEDICARE: BRIANNA JOY LOWE MOT, 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
1225XP0200XPediatric Occupational Therapist12902CA

General Provider Information

NPI Number : 1295084689
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA JOY LOWE MOT, OTR/L
Provider Business Mailing Address
First Line : 10431 COMMERCE ST STE A
Second Line :
City : REDLANDS
State : CA
Zip : 92374-0110
Country : US
Telephone Number : 909-735-7654
Fax Number :
Provider Business Practice Location Address
First Line : 10431 COMMERCE ST STE A
Second Line :
City : REDLANDS
State : CA
Zip : 92374-0110
Country : US
Telephone Number : 909-735-7654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2012
Last Update Date : 04/30/2019

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