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NPI Code Detail

MEDICARE: MICHELE ANN VIERE

MEDICARE:   MICHELE ANN VIERE
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 Therapist113257TX

General Provider Information

NPI Number : 1659608511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE ANN VIERE
Provider Business Mailing Address
First Line : 1000 SAINT LOUIS AVE STE 102
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3377
Country : US
Telephone Number : 817-521-5020
Fax Number :
Provider Business Practice Location Address
First Line : 1000 SAINT LOUIS AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3366
Country : US
Telephone Number : 817-921-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2009
Last Update Date : 11/09/2016

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Directions to “ MICHELE ANN VIERE ” Practice Location

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