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NPI Code Detail

MEDICARE: DARCY ALLISON OTR/L

MEDICARE: DARCY ALLISON 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 TherapistOT.008946OH

General Provider Information

NPI Number : 1720556996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCY ALLISON OTR/L
Provider Business Mailing Address
First Line : 4726 WILLOUGHCROFT RD
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-5704
Country : US
Telephone Number : 626-384-0019
Fax Number :
Provider Business Practice Location Address
First Line : 2108 LANDER RD
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4137
Country : US
Telephone Number : 440-443-0345
Fax Number : 440-443-0767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2018
Last Update Date : 11/06/2018

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