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NPI Code Detail

MEDICARE: GLORIA MARX OT

MEDICARE: GLORIA MARX 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 Therapist112878TX

General Provider Information

NPI Number : 1427539105
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA MARX OT
Provider Business Mailing Address
First Line : 8050 OAKDELL WAY APT 1702
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-3916
Country : US
Telephone Number : 832-816-0538
Fax Number :
Provider Business Practice Location Address
First Line : 5756 N KNOLL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-2238
Country : US
Telephone Number : 210-321-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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Directions to “ GLORIA MARX OT” Practice Location

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