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NPI Code Detail

MEDICARE: CLAIRE BROWN MOT, OTR/L

MEDICARE:   CLAIRE  BROWN  MOT, 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-4176MS

General Provider Information

NPI Number : 1770319394
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE BROWN MOT, OTR/L
Provider Business Mailing Address
First Line : 2347 HIGHWAY 1 S
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-8337
Country : US
Telephone Number : 662-579-8508
Fax Number : 601-586-8334
Provider Business Practice Location Address
First Line : 2347 HIGHWAY 1 S
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-8337
Country : US
Telephone Number : 662-579-8508
Fax Number : 601-586-8334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2024
Last Update Date : 09/10/2024

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Directions to “ CLAIRE BROWN MOT, OTR/L” Practice Location

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