MEDICARE: MS. MARILYN ANN ARMBRUSTER M.S.,O.T./L., C.H.T.

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	225XH1200X	Hand Occupational Therapist	442	CA

General Provider Information

NPI Number	:	1639154008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARILYN ANN ARMBRUSTER M.S.,O.T./L., C.H.T.

Provider Business Mailing Address
First Line	:	1710 9TH AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-4110
Country	:	US
Telephone Number	:	916-734-6700
Fax Number	:	916-734-6706

Provider Business Practice Location Address
First Line	:	1710 9TH AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-4110
Country	:	US
Telephone Number	:	916-734-6700
Fax Number	:	916-734-6706

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

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	07/08/2007

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