MEDICARE: CATHERINE B FLEMING 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
1	225X00000X	Occupational Therapist	TOC102505	PA

General Provider Information

NPI Number	:	1356692370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE B FLEMING OTR/L

Provider Business Mailing Address
First Line	:	1234 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-3721
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1239 PRINCETON LN
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-8700
Country	:	US
Telephone Number	:	215-779-6037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	06/14/2016

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