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NPI Code Detail

MEDICARE: REBECCA PAIGE TROUTMAN MS, OTR/L

MEDICARE: REBECCA PAIGE TROUTMAN MS, 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 Therapist5747TN

General Provider Information

NPI Number : 1770001042
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA PAIGE TROUTMAN MS, OTR/L
Provider Business Mailing Address
First Line : 1173 ROCK SPRINGS RD STE 105
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1173 ROCK SPRINGS RD STE 105
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8414
Country : US
Telephone Number : 615-220-5796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2017
Last Update Date : 09/06/2017

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