MEDICARE: HARLEY NICHOLE ADAMSON 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
1	225X00000X	Occupational Therapist	OT013661	OH

General Provider Information

NPI Number	:	1871428862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARLEY NICHOLE ADAMSON OTD, OTR/L

Provider Business Mailing Address
First Line	:	105 WEINLAND DR
Second Line	:
City	:	NEW CARLISLE
State	:	OH
Zip	:	45344-2927
Country	:	US
Telephone Number	:	937-776-0209
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 WEINLAND DR
Second Line	:
City	:	NEW CARLISLE
State	:	OH
Zip	:	45344-2927
Country	:	US
Telephone Number	:	937-776-0209
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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