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Individual

MRS. TERESA PHYLLIS LEMERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., OTR-L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03639
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03639
OT LICENSE&REGISTRATION
MD
01
1016583
NBCOT CERTIFICATION
MD
05
789R
MD
05
971R
MD
Enumeration date
02/10/2007
Last updated
07/09/2007
Update your record

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