Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
283XC2000X | |||
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1073044020 |
||||
| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 03/22/2017 | ||||
| Last updated | 08/27/2025 - About 9 months ago | ||||
| Identifiers |
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MAGGIE CORNER
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