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NPI Code Detail

MEDICARE: DEVARA L. ABERCROMBIE OTR/L

MEDICARE:   DEVARA L. ABERCROMBIE  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 TherapistOT553DC

General Provider Information

NPI Number : 1952577330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVARA L. ABERCROMBIE OTR/L
Provider Business Mailing Address
First Line : 4354 VARNUM PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20017-2101
Country : US
Telephone Number : 202-635-6414
Fax Number : 202-882-2889
Provider Business Practice Location Address
First Line : 4354 VARNUM PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20017-2101
Country : US
Telephone Number : 202-635-6414
Fax Number : 202-882-2889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2008
Last Update Date : 05/05/2008

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Directions to “ DEVARA L. ABERCROMBIE OTR/L” Practice Location

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