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NPI Code Detail

MEDICARE: ANNA MORELAND

MEDICARE: ANNA MORELAND
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 Therapist1850OK

General Provider Information

NPI Number : 1811362098
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MORELAND
Provider Business Mailing Address
First Line : 1310 E CLEVELAND AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-4829
Country : US
Telephone Number : 888-873-4221
Fax Number :
Provider Business Practice Location Address
First Line : 1310 E CLEVELAND AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-4829
Country : US
Telephone Number : 888-873-4221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2015
Last Update Date : 12/14/2015

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Directions to “ ANNA MORELAND ” Practice Location

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