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NPI Code Detail

MEDICARE: MARIE MALDONADO ROBERT

MEDICARE:   MARIE  MALDONADO ROBERT
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 TherapistOT00004500WA

General Provider Information

NPI Number : 1548465438
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE MALDONADO ROBERT
Provider Business Mailing Address
First Line : PO BOX 127
Second Line :
City : POULSBO
State : WA
Zip : 98370-0127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19160 FRONT STREET
Second Line :
City : POULSBO
State : WA
Zip : 98370-0127
Country : US
Telephone Number : 360-779-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 06/10/2013

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Directions to “ MARIE MALDONADO ROBERT ” Practice Location

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