Healthcare Provider Details

I. General information

NPI: 1497929160
Provider Name (Legal Business Name): MARIA JOAN BAYANI PARADO OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SAINT JOSEPH DR
KOKOMO IN
46901-1983
US

IV. Provider business mailing address

800 SAINT JOSEPH DR
KOKOMO IN
46901-1983
US

V. Phone/Fax

Practice location:
  • Phone: 765-236-1239
  • Fax:
Mailing address:
  • Phone: 765-236-1239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31003785A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: