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NPI Code Detail

MEDICARE: TAYLOR MARIE MONTANARI OTR/L

MEDICARE:   TAYLOR MARIE MONTANARI  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT19919FL

General Provider Information

NPI Number : 1013479419
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR MARIE MONTANARI OTR/L
Provider Business Mailing Address
First Line : 234 27TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33704-2927
Country : US
Telephone Number : 727-433-2865
Fax Number :
Provider Business Practice Location Address
First Line : 4201 31ST ST S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33712-4051
Country : US
Telephone Number : 727-867-1104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2019
Last Update Date : 04/03/2019

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Directions to “ TAYLOR MARIE MONTANARI OTR/L” Practice Location

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