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NPI Code Detail

MEDICARE: MRS. LIESELOT OBER MS, OTR/L

MEDICARE: MRS. LIESELOT OBER MS, 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
1225X00000XOccupational TherapistOT12014FL

General Provider Information

NPI Number : 1437384450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LIESELOT OBER MS, OTR/L
Provider Business Mailing Address
First Line : 2701 N ROCKY POINT DR
Second Line : SUITE 650
City : TAMPA
State : FL
Zip : 33607-5917
Country : US
Telephone Number : 800-892-0640
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N ROCKY POINT DR
Second Line : SUITE 650
City : TAMPA
State : FL
Zip : 33607-5917
Country : US
Telephone Number : 800-892-0640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2009
Last Update Date : 03/05/2013

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