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NPI Code Detail

MEDICARE: LA TARSHA CAIN OTR/L

MEDICARE: LA TARSHA CAIN 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 TherapistOT12394FL

General Provider Information

NPI Number : 1831367473
Entity Type Code : Individual
Provider Name (Legal Business Name) : LA TARSHA CAIN OTR/L
Provider Business Mailing Address
First Line : 4202 OKEECHOBEE RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34947-5414
Country : US
Telephone Number : 772-462-6636
Fax Number : 772-462-6635
Provider Business Practice Location Address
First Line : 4202 OKEECHOBEE RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34947-5414
Country : US
Telephone Number : 772-462-6636
Fax Number : 772-462-6635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2008
Last Update Date : 02/18/2008

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Directions to “ LA TARSHA CAIN OTR/L” Practice Location

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