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NPI Code Detail

MEDICARE: NATALIA CAMACHO CUBILLOS OTR/L

MEDICARE: NATALIA CAMACHO CUBILLOS 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 Therapist

General Provider Information

NPI Number : 1679333249
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIA CAMACHO CUBILLOS OTR/L
Provider Business Mailing Address
First Line : 21631 RIDGETOP CIR STE 225
Second Line :
City : STERLING
State : VA
Zip : 20166-4289
Country : US
Telephone Number : 571-207-8850
Fax Number :
Provider Business Practice Location Address
First Line : 21631 RIDGETOP CIR STE 225
Second Line :
City : STERLING
State : VA
Zip : 20166-4289
Country : US
Telephone Number : 571-207-8850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2024
Last Update Date : 03/20/2024

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