MEDICARE: RICHELLE LYNN CAMERON

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	306890	KY

General Provider Information

NPI Number	:	1386344885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHELLE LYNN CAMERON

Provider Business Mailing Address
First Line	:	800 DAWN RD
Second Line	:
City	:	MADISON
State	:	OH
Zip	:	44057-4401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 DAWN RD
Second Line	:
City	:	MADISON
State	:	OH
Zip	:	44057-4401
Country	:	US
Telephone Number	:	440-361-5343
Fax Number	:

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

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/03/2026

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Directions to “ RICHELLE LYNN CAMERON ” Practice Location

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