MEDICARE: EMILY MARIE MCLEMORE 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	OT007807	GA

General Provider Information

NPI Number	:	1609460039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MARIE MCLEMORE OTR/L

Provider Business Mailing Address
First Line	:	26 OAKFIELD DR SE
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30161-5991
Country	:	US
Telephone Number	:	706-936-3595
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 OAKFIELD DR SE
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30161-5991
Country	:	US
Telephone Number	:	706-936-3595
Fax Number	:

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

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	04/10/2026

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