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NPI Code Detail

MEDICARE: MARIANNE MAXA MORRIS OTR

MEDICARE: MARIANNE MAXA MORRIS 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 Therapist109133TX

General Provider Information

NPI Number : 1073554382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE MAXA MORRIS OTR
Provider Business Mailing Address
First Line : 2722 GREEN OAKS DR
Second Line :
City : GARLAND
State : TX
Zip : 75040-3247
Country : US
Telephone Number : 972-495-5741
Fax Number :
Provider Business Practice Location Address
First Line : 2300 MARIE CURIE DR
Second Line :
City : GARLAND
State : TX
Zip : 75042-5706
Country : US
Telephone Number : 972-481-5330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/08/2007

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Directions to “ MARIANNE MAXA MORRIS OTR” Practice Location

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