Healthcare Provider Details

I. General information

NPI: 1619161775
Provider Name (Legal Business Name): MARIE C NAVE-ZARRILLI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2007
Last Update Date: 08/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1856 W MARSHALL ST
EAGLEVILLE PA
19403-3244
US

IV. Provider business mailing address

1856 W MARSHALL ST
EAGLEVILLE PA
19403-3244
US

V. Phone/Fax

Practice location:
  • Phone: 484-744-2828
  • Fax:
Mailing address:
  • Phone: 484-744-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC005693L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: