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NPI Code Detail

MEDICARE: MR. JOSHUA ALLAN GILBERTSON MOTR

MEDICARE: MR. JOSHUA ALLAN GILBERTSON MOTR
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
1225XH1200XHand Occupational Therapist
2225X00000XOccupational Therapist

General Provider Information

NPI Number : 1922654425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA ALLAN GILBERTSON MOTR
Provider Business Mailing Address
First Line : 706 GEORGE WASHINGTON WAY
Second Line :
City : RICHLAND
State : WA
Zip : 99352-4211
Country : US
Telephone Number : 509-946-9200
Fax Number : 509-943-0649
Provider Business Practice Location Address
First Line : 706 GEORGE WASHINGTON WAY
Second Line :
City : RICHLAND
State : WA
Zip : 99352-4211
Country : US
Telephone Number : 509-946-9200
Fax Number : 509-943-0649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2019
Last Update Date : 10/02/2019

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