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NPI Code Detail

MEDICARE: HEATHER JO BRASWELL OTL

MEDICARE: HEATHER JO BRASWELL OTL
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 Therapist03182MD

General Provider Information

NPI Number : 1316070675
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER JO BRASWELL OTL
Provider Business Mailing Address
First Line : 32 FAWN HILL RD
Second Line :
City : HANOVER
State : PA
Zip : 17331-8223
Country : US
Telephone Number : 443-496-2878
Fax Number : 717-632-6362
Provider Business Practice Location Address
First Line : 4730 ATRIUM CT
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-3556
Country : US
Telephone Number : 410-363-0330
Fax Number : 410-363-8795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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