MEDICARE: EMMA HEARN OTR

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1982237038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA HEARN OTR

Provider Business Mailing Address
First Line	:	16141 WEATHERLY WAY
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8953
Country	:	US
Telephone Number	:	704-534-0188
Fax Number	:

Provider Business Practice Location Address
First Line	:	7171 E LONE MOUNTAIN RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85266-5701
Country	:	US
Telephone Number	:	480-488-0309
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	02/18/2020

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Directions to “ EMMA HEARN OTR” Practice Location

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