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NPI Code Detail

MEDICARE: KATHERINE ANN MUMM OTD, OTR/L

MEDICARE: KATHERINE ANN MUMM OTD, 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 Therapist0119010031VA

General Provider Information

NPI Number : 1851246193
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANN MUMM OTD, OTR/L
Provider Business Mailing Address
First Line : 2308 KLEEN ST APT 207
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1179
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1309 KEMPSVILLE RD
Second Line :
City : NORFOLK
State : VA
Zip : 23502-2205
Country : US
Telephone Number : 757-461-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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