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NPI Code Detail

MEDICARE: LAUREN TOWNSEND ALTMAN OTR/L

MEDICARE: LAUREN TOWNSEND ALTMAN 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 Therapist12778NC

General Provider Information

NPI Number : 1912558867
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN TOWNSEND ALTMAN OTR/L
Provider Business Mailing Address
First Line : 271 GOLDEN OATS DR
Second Line :
City : ANGIER
State : NC
Zip : 27501-6949
Country : US
Telephone Number : 919-961-5007
Fax Number :
Provider Business Practice Location Address
First Line : 325 N COOL SPRING ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-5137
Country : US
Telephone Number : 910-323-4925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2019
Last Update Date : 09/23/2019

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