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NPI Code Detail

MEDICARE: MARIA PIA BALDERAS OTA/L

MEDICARE: MARIA PIA BALDERAS OTA/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
1224Z00000XOccupational Therapy Assistant3278AZ

General Provider Information

NPI Number : 1588825780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA PIA BALDERAS OTA/L
Provider Business Mailing Address
First Line : 10212 E PLACITA PINOLE
Second Line :
City : TUCSON
State : AZ
Zip : 85730-5210
Country : US
Telephone Number : 520-867-8887
Fax Number :
Provider Business Practice Location Address
First Line : 4310 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2607
Country : US
Telephone Number : 520-323-9351
Fax Number : 520-795-0459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 06/19/2008

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Directions to “ MARIA PIA BALDERAS OTA/L” Practice Location

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