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NPI Code Detail

MEDICARE: MAMTA ROOPANI MOT

MEDICARE: MAMTA ROOPANI MOT
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 Therapist117228TX

General Provider Information

NPI Number : 1801241799
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAMTA ROOPANI MOT
Provider Business Mailing Address
First Line : 4422 RIVERSTONE BLVD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-7150
Country : US
Telephone Number : 281-499-5040
Fax Number :
Provider Business Practice Location Address
First Line : 4422 RIVERSTONE BLVD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-7150
Country : US
Telephone Number : 281-499-5040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2016
Last Update Date : 04/27/2016

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Directions to “ MAMTA ROOPANI MOT” Practice Location

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