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NPI Code Detail

MEDICARE: WEE PLAY OCCUPATIONAL THERAPY

MEDICARE: WEE PLAY OCCUPATIONAL THERAPY
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 Therapist5041NC

General Provider Information

NPI Number : 1427355023
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEE PLAY OCCUPATIONAL THERAPY
Provider Business Mailing Address
First Line : 2064 WALSHTOWN RD
Second Line :
City : BOOMER
State : NC
Zip : 28606-9166
Country : US
Telephone Number : 336-651-8875
Fax Number : 336-667-0781
Provider Business Practice Location Address
First Line : 2064 WALSHTOWN RD
Second Line :
City : BOOMER
State : NC
Zip : 28606-9166
Country : US
Telephone Number : 336-651-8875
Fax Number : 336-667-0781
Authorized Official
Title or Position : OWNER
Name : JOSH HARLESS
Credential :
Telephone Number : 336-651-8875
Provider Enumeration Date : 02/16/2011
Last Update Date : 09/13/2011

Similar Medicare Providers

1558677807 — JOSHUA AARON HARLESS OTR/L
Practice Location Address:
2064 WALSHTOWN RD
BOOMER, NC
28606-9166
Practice Phone: 336-651-8875
Practice Fax: 336-667-0781
1487673075 — MRS. MICHELE MARIE EDWARDS PA-C
Practice Location Address:
156 BOOMER COMMUNITY CENTER RD
BOOMER, NC
28606-9199
Practice Phone: 336-921-2273
Practice Fax: 336-921-2405
1164440798 — MR. CLAY STEPHEN CAMP LPA
Practice Location Address:
4660 HIGH ROCK ROAD
BOOMER, NC
28606
Practice Phone: 336-977-1794
Practice Fax:
1336218486 — ECKERD YOUTH ALTERNATIVES
Practice Location Address:
4654 HIGH ROCK RD
BOOMER, NC
28606-9109
Practice Phone: 336-921-3300
Practice Fax: 336-921-4320
1609942820 — BOOMER MEDICAL CENTER, INC.
Practice Location Address:
156 BOOMER COMMUNITY CENTER RD
BOOMER, NC
28606-9199
Practice Phone: 336-921-2273
Practice Fax: 336-921-2405
1194356998 — TEVON JERELL COLBERT
Practice Location Address:
7352 S NC HIGHWAY 18
BOOMER, NC
28606-9126
Practice Phone: 828-850-0619
Practice Fax:

Directions to “WEE PLAY OCCUPATIONAL THERAPY ” Practice Location

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