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NPI Code Detail

MEDICARE: ARIANA M MORIN OTR

MEDICARE: ARIANA M MORIN OTR
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 Therapist119936TX

General Provider Information

NPI Number : 1538622139
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANA M MORIN OTR
Provider Business Mailing Address
First Line : 6010 BOXELDER TRL
Second Line :
City : KILLEEN
State : TX
Zip : 76542-5442
Country : US
Telephone Number : 201-316-3648
Fax Number :
Provider Business Practice Location Address
First Line : 7349 HONEYSUCKLE STE 100
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5888
Country : US
Telephone Number : 254-780-9658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2019
Last Update Date : 04/10/2019

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