MEDICARE: MARSHAE DENISE FRANKLIN MSOT, OTR/L

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	18672	CA

General Provider Information

NPI Number	:	1366930349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHAE DENISE FRANKLIN MSOT, OTR/L

Provider Business Mailing Address
First Line	:	23760 STONECLIFF LN
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-1421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23760 STONECLIFF LN
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-1421
Country	:	US
Telephone Number	:	310-935-8576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2018
Last Update Date	:	04/25/2018

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