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NPI Code Detail

MEDICARE: MRS. JERRI ANNETTE ATKINS OTR/L

MEDICARE: MRS. JERRI ANNETTE ATKINS 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 Therapist0516AL

General Provider Information

NPI Number : 1881226736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JERRI ANNETTE ATKINS OTR/L
Provider Business Mailing Address
First Line : 3040 HONEYSUCKLE LN S
Second Line :
City : SOUTHSIDE
State : AL
Zip : 35907-6636
Country : US
Telephone Number : 256-390-5725
Fax Number :
Provider Business Practice Location Address
First Line : 3803 RAINBOW DR
Second Line :
City : RAINBOW CITY
State : AL
Zip : 35906-3025
Country : US
Telephone Number : 256-495-5051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2020
Last Update Date : 02/09/2020

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