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NPI Code Detail

MEDICARE: MARY ABARQUEZ

MEDICARE: MARY ABARQUEZ
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 Therapist10081CA

General Provider Information

NPI Number : 1174160196
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ABARQUEZ
Provider Business Mailing Address
First Line : 17169 MONTEREY PINES LN
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91387-2601
Country : US
Telephone Number : 818-653-7494
Fax Number :
Provider Business Practice Location Address
First Line : 5400 FOUNTAIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-1007
Country : US
Telephone Number : 323-461-4301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2019
Last Update Date : 12/09/2019

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Directions to “ MARY ABARQUEZ ” Practice Location

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