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NPI Code Detail

MEDICARE: WILLIAM GLENN MEREDITH OTR/L, OTD

MEDICARE: WILLIAM GLENN MEREDITH OTR/L, OTD
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 TherapistOTP-OT-LIC-6886MT

General Provider Information

NPI Number : 1447865910
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM GLENN MEREDITH OTR/L, OTD
Provider Business Mailing Address
First Line : 2208 SHILOH RD
Second Line :
City : BILLINGS
State : MT
Zip : 59106-1530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 710 11TH ST N
Second Line :
City : COLUMBUS
State : MT
Zip : 59019-7215
Country : US
Telephone Number : 406-322-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2020
Last Update Date : 09/11/2020

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