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NPI Code Detail

MEDICARE: THOMAS TOWNER OT

MEDICARE: THOMAS TOWNER OT
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 Therapist6589AZ
2225X00000XOccupational TherapistOT19218FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT19218OTHERFLNPI

General Provider Information

NPI Number : 1629425418
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS TOWNER OT
Provider Business Mailing Address
First Line : 6030 REESE RD APT 101
Second Line :
City : DAVIE
State : FL
Zip : 33314-1227
Country : US
Telephone Number : 607-346-7264
Fax Number :
Provider Business Practice Location Address
First Line : 6521 N ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-2131
Country : US
Telephone Number : 954-941-6301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2016
Last Update Date : 01/15/2019

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Directions to “ THOMAS TOWNER OT” Practice Location

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