MEDICARE: MS. ANNETTE M BIXLER OT

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
1	225X00000X	Occupational Therapist	OC000046L	PA

General Provider Information

NPI Number	:	1508864562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNETTE M BIXLER OT

Provider Business Mailing Address
First Line	:	170 N POINTE BLVD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4132
Country	:	US
Telephone Number	:	717-299-4871
Fax Number	:	717-391-2494

Provider Business Practice Location Address
First Line	:	170 N POINTE BLVD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4132
Country	:	US
Telephone Number	:	717-299-4871
Fax Number	:	717-391-2494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/31/2013

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