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NPI Code Detail

MEDICARE: MRS. LAURA IRVINE OTR/L

MEDICARE: MRS. LAURA IRVINE 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 TherapistOC001883LPA

General Provider Information

NPI Number : 1851312359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA IRVINE OTR/L
Provider Business Mailing Address
First Line : 401 LOCUST ST STE 2A
Second Line :
City : CORAOPOLIS
State : PA
Zip : 15108-3954
Country : US
Telephone Number : 412-299-0704
Fax Number : 412-299-0716
Provider Business Practice Location Address
First Line : 401 LOCUST ST STE 2A
Second Line :
City : CORAOPOLIS
State : PA
Zip : 15108-3954
Country : US
Telephone Number : 412-299-0704
Fax Number : 412-299-0716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. LAURA IRVINE OTR/L” Practice Location

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