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NPI Code Detail

MEDICARE: MARIA ELENA DE LA PASZ CORRAL OTR/L

MEDICARE: MARIA ELENA DE LA PASZ CORRAL 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
1225X00000XOccupational TherapistOT 2671FL

General Provider Information

NPI Number : 1790956076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ELENA DE LA PASZ CORRAL OTR/L
Provider Business Mailing Address
First Line : 1091 PORT MALABAR BLVD NE STE 2
Second Line :
City : PALM BAY
State : FL
Zip : 32905-5100
Country : US
Telephone Number : 321-725-2405
Fax Number : 321-725-2406
Provider Business Practice Location Address
First Line : 1091 PORT MALABAR BLVD NE STE 2
Second Line :
City : PALM BAY
State : FL
Zip : 32905-5100
Country : US
Telephone Number : 321-725-2405
Fax Number : 321-725-2406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2008
Last Update Date : 03/14/2008

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Directions to “ MARIA ELENA DE LA PASZ CORRAL OTR/L” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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