MEDICARE: MAUD AND COMPANY REHAB SERVICES INC

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	1487	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306806054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAUD AND COMPANY REHAB SERVICES INC

Provider Business Mailing Address
First Line	:	405 WAKE ROBIN CT
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29505-3189
Country	:	US
Telephone Number	:	843-774-7462
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 N MACARTHUR AVE
Second Line	:
City	:	DILLON
State	:	SC
Zip	:	29536-3434
Country	:	US
Telephone Number	:	843-774-7462
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MAUD N MMBO
Credential	:	OTR/L
Telephone Number	:	843-774-7462

Provider Enumeration Date	:	03/26/2006
Last Update Date	:	03/26/2013

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