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NPI Code Detail

MEDICARE: KYLE MYERS OTR/L

MEDICARE: KYLE MYERS 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 TherapistOT9546FL

General Provider Information

NPI Number : 1881916013
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE MYERS OTR/L
Provider Business Mailing Address
First Line : 1045 10TH ST
Second Line : 307
City : MIAMI BEACH
State : FL
Zip : 33139-5318
Country : US
Telephone Number : 954-961-9522
Fax Number :
Provider Business Practice Location Address
First Line : 2480 N PARK RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3744
Country : US
Telephone Number : 954-961-9522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2010
Last Update Date : 02/15/2010

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