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NPI Code Detail

MEDICARE: KAREN ELIZABETH DOBYNS OTR/L

MEDICARE: KAREN ELIZABETH DOBYNS 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 TherapistOT004953GA

General Provider Information

NPI Number : 1588998066
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ELIZABETH DOBYNS OTR/L
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line : RSWIR BOX 327
City : WARM SPRINGS
State : GA
Zip : 31830-1000
Country : US
Telephone Number : 901-320-7087
Fax Number :
Provider Business Practice Location Address
First Line : 6391 ROOSEVELT HWY
Second Line :
City : WARM SPRINGS
State : GA
Zip : 31830-2281
Country : US
Telephone Number : 706-655-5636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2009
Last Update Date : 09/30/2009

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