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NPI Code Detail

MEDICARE: MARLEY BAIN M.S. OTR/L

MEDICARE: MARLEY BAIN M.S. 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 Therapist018957NY
2225XP0200XPediatric Occupational Therapist018957NY

General Provider Information

NPI Number : 1285035121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLEY BAIN M.S. OTR/L
Provider Business Mailing Address
First Line : 7 WRIGHT RD
Second Line :
City : STILLWATER
State : NY
Zip : 12170-2018
Country : US
Telephone Number : 315-405-1827
Fax Number :
Provider Business Practice Location Address
First Line : 900 WATERVLIET SHAKER RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-1002
Country : US
Telephone Number : 518-464-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2014
Last Update Date : 12/08/2025

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