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NPI Code Detail

MEDICARE: TIERRA GERMAN

MEDICARE: TIERRA GERMAN
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 Therapist

General Provider Information

NPI Number : 1386530590
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIERRA GERMAN
Provider Business Mailing Address
First Line : 2808 WATERFORD DR S
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-5955
Country : US
Telephone Number : 954-696-3963
Fax Number :
Provider Business Practice Location Address
First Line : 2808 WATERFORD DR S
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-5955
Country : US
Telephone Number : 954-696-3963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 06/16/2025

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Directions to “ TIERRA GERMAN ” Practice Location

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