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NPI Code Detail

MEDICARE: TAMI RICHMOND MOT,OTR/L

MEDICARE: TAMI RICHMOND MOT,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 TherapistOT.008086OH
2225X00000XOccupational Therapist114577TX

General Provider Information

NPI Number : 1972902336
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMI RICHMOND MOT,OTR/L
Provider Business Mailing Address
First Line : 6685 DOROTHYS CRK
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-8098
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 936 EASTWIND DR
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-3319
Country : US
Telephone Number : 614-797-5700
Fax Number : 614-797-5701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2014
Last Update Date : 08/21/2014

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