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NPI Code Detail

MEDICARE: MAUREEN ELIZABETH SEVEC OTR/L

MEDICARE:   MAUREEN ELIZABETH SEVEC  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 Therapist03050MD

General Provider Information

NPI Number : 1104226984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN ELIZABETH SEVEC OTR/L
Provider Business Mailing Address
First Line : 407 SANDERA DR
Second Line :
City : GAMBRILLS
State : MD
Zip : 21054-1766
Country : US
Telephone Number : 410-672-0605
Fax Number :
Provider Business Practice Location Address
First Line : 1219 WAUGH CHAPEL RD
Second Line :
City : GAMBRILLS
State : MD
Zip : 21054-1608
Country : US
Telephone Number : 410-987-1644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2014
Last Update Date : 08/28/2014

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Directions to “ MAUREEN ELIZABETH SEVEC OTR/L” Practice Location

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