MEDICARE: ANNETTE DYER OT

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	OC011068	PA

General Provider Information

NPI Number	:	1851647440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE DYER OT

Provider Business Mailing Address
First Line	:	90 MAPLEWOOD DR
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-6307
Country	:	US
Telephone Number	:	570-522-3880
Fax Number	:	570-524-9068

Provider Business Practice Location Address
First Line	:	113 S 9TH ST
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-5108
Country	:	US
Telephone Number	:	717-376-1133
Fax Number	:

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

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	06/07/2026

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Directions to “ ANNETTE DYER OT” Practice Location

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