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NPI Code Detail

MEDICARE: ERIN WALSH OTRL

MEDICARE: ERIN WALSH OTRL
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 TherapistOC007407LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OC 007407LOTHERPAOCCUPATIONAL THERAPIST

General Provider Information

NPI Number : 1730206723
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN WALSH OTRL
Provider Business Mailing Address
First Line : 2232 RISSER MILL RD
Second Line :
City : MOUNT JOY
State : PA
Zip : 17552-8609
Country : US
Telephone Number : 717-653-4016
Fax Number :
Provider Business Practice Location Address
First Line : 1800 VILLAGE CIR
Second Line :
City : LANCASTER
State : PA
Zip : 17603-2376
Country : US
Telephone Number : 717-397-4831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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