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NPI Code Detail

MEDICARE: PAULA W. DWYER OTR

MEDICARE:   PAULA W. DWYER  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 Therapist5201000862MI

General Provider Information

NPI Number : 1316556129
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA W. DWYER OTR
Provider Business Mailing Address
First Line : 310 MORSE DR
Second Line :
City : SIX LAKES
State : MI
Zip : 48886-8746
Country : US
Telephone Number : 616-581-1176
Fax Number :
Provider Business Practice Location Address
First Line : 310 MORSE DR
Second Line :
City : SIX LAKES
State : MI
Zip : 48886-8746
Country : US
Telephone Number : 616-581-1176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2020
Last Update Date : 07/28/2020

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Directions to “ PAULA W. DWYER OTR” Practice Location

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