MEDICARE: LAMURIEL Y OJO OTR

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
1	225X00000X	Occupational Therapist	001596	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841341419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAMURIEL Y OJO OTR

Provider Business Mailing Address
First Line	:	PO BOX 1452
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31902-1452
Country	:	US
Telephone Number	:	404-341-9044
Fax Number	:	478-215-0733

Provider Business Practice Location Address
First Line	:	19 WALNUT CREEK LN
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8157
Country	:	US
Telephone Number	:	770-310-0510
Fax Number	:	404-341-9044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	06/19/2026

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