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NPI Code Detail

MEDICARE: MARIA AGOSTINA RICCOMBENI OTR/L

MEDICARE: MARIA AGOSTINA RICCOMBENI 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 TherapistOT20177FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154766111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA AGOSTINA RICCOMBENI OTR/L
Provider Business Mailing Address
First Line : 13448 SW 154TH ST APT 2403
Second Line :
City : MIAMI
State : FL
Zip : 33177-8119
Country : US
Telephone Number : 305-300-0473
Fax Number :
Provider Business Practice Location Address
First Line : 4475 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2562
Country : US
Telephone Number : 305-200-5073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2013
Last Update Date : 07/02/2019

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Directions to “ MARIA AGOSTINA RICCOMBENI OTR/L” Practice Location

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