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NPI Code Detail

MEDICARE: KARA ROSS MPH, OTR/L

MEDICARE: KARA ROSS MPH, 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
1225XH1200XHand Occupational TherapistOT002422GA

General Provider Information

NPI Number : 1477878866
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA ROSS MPH, OTR/L
Provider Business Mailing Address
First Line : 8823 PRODUCTION LN
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-6511
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 5415 THOMPSON MILL RD
Second Line :
City : HOSCHTON
State : GA
Zip : 30548-4132
Country : US
Telephone Number : 770-965-3508
Fax Number : 770-965-3279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2010
Last Update Date : 05/19/2015

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Directions to “ KARA ROSS MPH, OTR/L” Practice Location

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