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NPI Code Detail

MEDICARE: MRS. MARY CARLY WARBINGTON OTR/L

MEDICARE: MRS. MARY CARLY WARBINGTON 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 TherapistOT009549GA

General Provider Information

NPI Number : 1538057070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY CARLY WARBINGTON OTR/L
Provider Business Mailing Address
First Line : 603 HAYES RD
Second Line :
City : AUBURN
State : GA
Zip : 30011-2357
Country : US
Telephone Number : 770-713-7564
Fax Number :
Provider Business Practice Location Address
First Line : 1854 AUBURN RD
Second Line :
City : DACULA
State : GA
Zip : 30019-1130
Country : US
Telephone Number : 770-904-6009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2025
Last Update Date : 06/24/2025

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