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NPI Code Detail

MEDICARE: DIANE MOHR

MEDICARE: DIANE MOHR
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 TherapistOT.002756OH

General Provider Information

NPI Number : 1336565274
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE MOHR
Provider Business Mailing Address
First Line : 36096 BILLINGSLEY ROW
Second Line :
City : AVON
State : OH
Zip : 44011-3483
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34600 BAINBRIDGE RD
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-4073
Country : US
Telephone Number : 440-327-1992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 03/17/2014

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Directions to “ DIANE MOHR ” Practice Location

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