MEDICARE: DEANNA LYNN MARR 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
1	225X00000X	Occupational Therapist	OT9409	FL
2	225XP0019X	Physical Rehabilitation Occupational Therapist	OT9409	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467794784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA LYNN MARR OTR/L

Provider Business Mailing Address
First Line	:	736 WELLINGTON CT
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-4018
Country	:	US
Telephone Number	:	813-417-6053
Fax Number	:

Provider Business Practice Location Address
First Line	:	2595 TAMPA RD STE A
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3130
Country	:	US
Telephone Number	:	727-953-3228
Fax Number	:	727-953-3486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	03/02/2023

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