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NPI Code Detail

MEDICARE: ERIN DOYLE

MEDICARE:   ERIN  DOYLE
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 Therapist2017015350MO
2225X00000XOccupational Therapist119306TX
3225X00000XOccupational TherapistOT.005091CO
4225X00000XOccupational TherapistOT60877937WA

General Provider Information

NPI Number : 1780170589
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN DOYLE
Provider Business Mailing Address
First Line : 8657 LITZSINGER RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63144-2422
Country : US
Telephone Number : 314-359-3983
Fax Number :
Provider Business Practice Location Address
First Line : 816 S INTEROCEAN AVE
Second Line :
City : HOLYOKE
State : CO
Zip : 80734-2120
Country : US
Telephone Number : 970-854-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2018
Last Update Date : 11/19/2018

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