MEDICARE: MRS. REBECCA LEIGH TRANMER 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
1	225X00000X	Occupational Therapist	004077	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	004077	OTHER	GA	LICENSE NUMBER

General Provider Information

NPI Number	:	1518903061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA LEIGH TRANMER OTR/L

Provider Business Mailing Address
First Line	:	5234 GRADY COURT
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907
Country	:	US
Telephone Number	:	706-573-2408
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 17TH ST
Second Line	:	SUITE NUMBER 407
City	:	COLUMBUS
State	:	GA
Zip	:	31901-3500
Country	:	US
Telephone Number	:	706-321-0930
Fax Number	:

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/08/2007

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