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NPI Code Detail

MEDICARE: MARIA L MORELLINO OT

MEDICARE: MARIA L MORELLINO 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 Therapist5793NC

General Provider Information

NPI Number : 1780797373
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA L MORELLINO OT
Provider Business Mailing Address
First Line : 4012 PARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-2377
Country : US
Telephone Number : 704-942-5660
Fax Number :
Provider Business Practice Location Address
First Line : 4012 PARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-2377
Country : US
Telephone Number : 704-379-5632
Fax Number : 704-355-4231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 08/10/2012

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Directions to “ MARIA L MORELLINO OT” Practice Location

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