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NPI Code Detail

MEDICARE: DEBORAH A GEORGE OTR/L

MEDICARE: DEBORAH A GEORGE 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 TherapistKY-R2247KY

General Provider Information

NPI Number : 1902076136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH A GEORGE OTR/L
Provider Business Mailing Address
First Line : PO BOX 9131
Second Line :
City : LOUISVILLE
State : KY
Zip : 40209-0131
Country : US
Telephone Number : 502-327-0045
Fax Number : 502-327-0019
Provider Business Practice Location Address
First Line : 918 ORMSBY LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40242-4536
Country : US
Telephone Number : 502-327-0045
Fax Number : 502-327-0019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2008
Last Update Date : 03/04/2008

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Directions to “ DEBORAH A GEORGE OTR/L” Practice Location

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