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NPI Code Detail

MEDICARE: MR. RAJENDRA N REWATKAR OTR/L

MEDICARE: MR. RAJENDRA N REWATKAR 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 TherapistOT002134GA

General Provider Information

NPI Number : 1639345143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAJENDRA N REWATKAR OTR/L
Provider Business Mailing Address
First Line : 5131 WARMSPRINGS ROAD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909
Country : US
Telephone Number : 706-568-2927
Fax Number : 706-568-8530
Provider Business Practice Location Address
First Line : 5131 WARM SPRINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4196
Country : US
Telephone Number : 706-562-9107
Fax Number : 706-562-9107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2008
Last Update Date : 05/05/2008

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