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NPI Code Detail

MEDICARE: BARBARA BURTON LOYA OTR

MEDICARE: BARBARA BURTON LOYA 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
1225X00000XOccupational Therapist111760TX

General Provider Information

NPI Number : 1982867206
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA BURTON LOYA OTR
Provider Business Mailing Address
First Line : 2083 GREENLEE DR
Second Line :
City : EL PASO
State : TX
Zip : 79936-3984
Country : US
Telephone Number : 915-240-7753
Fax Number :
Provider Business Practice Location Address
First Line : 10450 BRIAN MOONEY AVE
Second Line :
City : EL PASO
State : TX
Zip : 79935-2809
Country : US
Telephone Number : 915-598-6616
Fax Number : 915-598-6651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 07/07/2008

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