MEDICARE: ANNABEL RUTH MYERS

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	OT009290	GA
2	225X00000X	Occupational Therapist	17508	NC

General Provider Information

NPI Number	:	1902602055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNABEL RUTH MYERS

Provider Business Mailing Address
First Line	:	PO BOX 1414
Second Line	:
City	:	CLINTON
State	:	NC
Zip	:	28329-1414
Country	:	US
Telephone Number	:	910-299-0700
Fax Number	:	910-299-0800

Provider Business Practice Location Address
First Line	:	2135 VALLEYGATE DR STE 101
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3751
Country	:	US
Telephone Number	:	910-299-0700
Fax Number	:	910-299-0800

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

Provider Enumeration Date	:	02/20/2025
Last Update Date	:	06/02/2026

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