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NPI Code Detail

MEDICARE: ASHLEY M BADER OTR/L

MEDICARE: ASHLEY M BADER 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 TherapistOT008458OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT008458OTHEROHOCCUPATIONAL THRERAPY

General Provider Information

NPI Number : 1477034726
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY M BADER OTR/L
Provider Business Mailing Address
First Line : 4320 BRIDGETOWN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-4428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4320 BRIDGETOWN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-4428
Country : US
Telephone Number : 513-574-4550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2018
Last Update Date : 08/24/2018

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