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NPI Code Detail

MEDICARE: MRS. MARIA L ACEVEDO OTA/L

MEDICARE: MRS. MARIA L ACEVEDO OTA/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
1224ZF0002XFeeding, Eating & Swallowing Occupational Therapy AssistantOTA5625FL

General Provider Information

NPI Number : 1275893133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA L ACEVEDO OTA/L
Provider Business Mailing Address
First Line : 8903 SHELDON CHASE DR
Second Line :
City : TAMPA
State : FL
Zip : 33635-1092
Country : US
Telephone Number : 813-880-0494
Fax Number :
Provider Business Practice Location Address
First Line : 2916 HABANA WAY
Second Line :
City : TAMPA
State : FL
Zip : 33614-7108
Country : US
Telephone Number : 813-227-4347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2012
Last Update Date : 05/24/2012

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