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NPI Code Detail

MEDICARE: FORESTWAYS OT LLC

MEDICARE: FORESTWAYS OT LLC
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 Therapist

General Provider Information

NPI Number : 1609584176
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORESTWAYS OT LLC
Provider Business Mailing Address
First Line : 1609 SHELLEY CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1609 SHELLEY CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1128
Country : US
Telephone Number : 317-727-0768
Fax Number :
Authorized Official
Title or Position : OCCUPATIONAL THERAPIST
Name : LINDSEY STAMPER
Credential : MS, OTR/L
Telephone Number : 317-727-0768
Provider Enumeration Date : 11/14/2022
Last Update Date : 11/14/2022

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Directions to “FORESTWAYS OT LLC ” Practice Location

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