MEDICARE: DEANNE MEA ESGUERRA

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	07286	MD

General Provider Information

NPI Number	:	1518370824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNE MEA ESGUERRA

Provider Business Mailing Address
First Line	:	1065 NORMAN DRIVE
Second Line	:	APT 102
City	:	ANNAPOLIS
State	:	MD
Zip	:	21403-3016
Country	:	US
Telephone Number	:	240-401-2122
Fax Number	:

Provider Business Practice Location Address
First Line	:	1065 NORMAN DRIVE
Second Line	:	APT 102
City	:	ANNAPOLIS
State	:	MD
Zip	:	21403-3016
Country	:	US
Telephone Number	:	240-401-2122
Fax Number	:

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

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	06/04/2014

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