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NPI Code Detail

MEDICARE: DEBORAH SHELLEY LEVY OT001527

MEDICARE: DEBORAH SHELLEY LEVY OT001527
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 TherapistOT001527GA

General Provider Information

NPI Number : 1790865186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH SHELLEY LEVY OT001527
Provider Business Mailing Address
First Line : 3032 COACH LN
Second Line :
City : MARIETTA
State : GA
Zip : 30062-5017
Country : US
Telephone Number : 678-461-9908
Fax Number :
Provider Business Practice Location Address
First Line : 1200 LAKE HEARN DR NE
Second Line : SUITE 250
City : ATLANTA
State : GA
Zip : 30319-1415
Country : US
Telephone Number : 404-943-1070
Fax Number : 404-943-0890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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Directions to “ DEBORAH SHELLEY LEVY OT001527” Practice Location

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