Healthcare Provider Details

I. General information

NPI: 1831256106
Provider Name (Legal Business Name): MAYA NAIMA BELL M.ED, OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 02/23/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USNMRTC GUAM BLDG. 50 FARENHOLT AVE.
AGANA HEIGHTS GU
96910
US

IV. Provider business mailing address

PSC 455 BOX 208
FPO AP
96540-0003
US

V. Phone/Fax

Practice location:
  • Phone: 671-344-9515
  • Fax:
Mailing address:
  • Phone: 671-344-9515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT7184
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: