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NPI Code Detail

MEDICARE: LAURA PRIEST

MEDICARE:   LAURA  PRIEST
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 AssistantOTA021OH

General Provider Information

NPI Number : 1669877833
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA PRIEST
Provider Business Mailing Address
First Line : 18194 COUNTY ROAD 24
Second Line :
City : GROVER HILL
State : OH
Zip : 45849-9505
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 813 N FRANKLIN ST
Second Line :
City : VAN WERT
State : OH
Zip : 45891-1303
Country : US
Telephone Number : 419-238-1514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2014
Last Update Date : 10/29/2014

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Directions to “ LAURA PRIEST ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.