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NPI Code Detail

MEDICARE: ALLISON JOY DREYER OTR/L

MEDICARE: ALLISON JOY DREYER 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 Therapist9571NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972994200
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON JOY DREYER OTR/L
Provider Business Mailing Address
First Line : 1130 SNOW BRIDGE LN
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-8411
Country : US
Telephone Number : 336-310-5828
Fax Number : 888-511-1230
Provider Business Practice Location Address
First Line : 1130 SNOW BRIDGE LN
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-8411
Country : US
Telephone Number : 336-310-5828
Fax Number : 888-511-1230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2015
Last Update Date : 01/09/2017

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