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NPI Code Detail

MEDICARE: MRS. AMANDA RENEE MEEKER OTR/L

MEDICARE: MRS. AMANDA RENEE MEEKER 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
1225XG0600XGerontology Occupational TherapistOT-005185OH

General Provider Information

NPI Number : 1316448103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA RENEE MEEKER OTR/L
Provider Business Mailing Address
First Line : 2159 DOGWOOD RIDGE RD
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-9044
Country : US
Telephone Number : 740-574-2558
Fax Number :
Provider Business Practice Location Address
First Line : 2159 DOGWOOD RIDGE RD
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-9044
Country : US
Telephone Number : 740-574-2558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2018
Last Update Date : 02/27/2018

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