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NPI Code Detail

MEDICARE: MS. LAURA MICHELLE TEWMEY OTR/L

MEDICARE:  MS. LAURA MICHELLE TEWMEY  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 Therapist112930TX

General Provider Information

NPI Number : 1750515946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA MICHELLE TEWMEY OTR/L
Provider Business Mailing Address
First Line : 12710 BELLA VINO DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76126-4962
Country : US
Telephone Number : 214-673-5740
Fax Number :
Provider Business Practice Location Address
First Line : 2260 COLLEGE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1952
Country : US
Telephone Number : 214-673-5740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2009
Last Update Date : 10/21/2022

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Directions to “ MS. LAURA MICHELLE TEWMEY OTR/L” Practice Location

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