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NPI Code Detail

MEDICARE: MARION JOSEF ROMAN OT

MEDICARE: MARION JOSEF ROMAN OT
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 Therapist1071680OR
2225X00000XOccupational TherapistOT60167458WA

General Provider Information

NPI Number : 1326208653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARION JOSEF ROMAN OT
Provider Business Mailing Address
First Line : 125 SW CAMPUS DR
Second Line : APARTMENT 11-105
City : FEDERAL WAY
State : WA
Zip : 98023-8365
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S 224TH ST
Second Line :
City : DES MOINES
State : WA
Zip : 98198-5132
Country : US
Telephone Number : 206-824-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2008
Last Update Date : 06/22/2012

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Directions to “ MARION JOSEF ROMAN OT” Practice Location

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