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NPI Code Detail

MEDICARE: MRS. PAMELA CATHERINE GRIEP C.O.T.A/L.

MEDICARE: MRS. PAMELA CATHERINE GRIEP C.O.T.A/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
1224Z00000XOccupational Therapy AssistantOTA 369FL

General Provider Information

NPI Number : 1629240866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA CATHERINE GRIEP C.O.T.A/L.
Provider Business Mailing Address
First Line : 8301 RICH RD
Second Line :
City : NORTH FT MYERS
State : FL
Zip : 33917-4706
Country : US
Telephone Number : 239-464-4135
Fax Number :
Provider Business Practice Location Address
First Line : 8301 RICH RD
Second Line :
City : NORTH FT MYERS
State : FL
Zip : 33917-4706
Country : US
Telephone Number : 239-464-4135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2008
Last Update Date : 11/30/2012

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Directions to “ MRS. PAMELA CATHERINE GRIEP C.O.T.A/L.” Practice Location

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