Healthcare Provider Details

I. General information

NPI: 1336078419
Provider Name (Legal Business Name): MARIE KLINE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E SAMPLE RD APT 604
DEERFIELD BEACH FL
33064-3502
US

IV. Provider business mailing address

4015 W PALM AIRE DR APT 604
POMPANO BEACH FL
33069-4175
US

V. Phone/Fax

Practice location:
  • Phone: 954-786-6470
  • Fax: 954-786-6477
Mailing address:
  • Phone: 256-251-2142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT6200
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: