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General NPI Number Information
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NPI Number | 1376963835
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Entity Type | Individual
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Provider Name | JOANNA MAAG MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 135 GOLD STAR BLVD STE 103
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City | WORCESTER
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State | MA
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Zip | 01606-2738
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Country | US
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Telephone | 844-543-8437
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Fax |
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Provider Business Mailing Address
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Address Line | 186 6TH AVE # 2
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City | WOONSOCKET
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State | RI
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Zip | 02895-4023
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Country | US
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Telephone | 516-982-0956
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 11184
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License Number State | MA
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