MEDICARE: MAUREEN CANARIA 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
1	225X00000X	Occupational Therapist	16-0694	NV
2	174H00000X	Health Educator	19403	NY

General Provider Information

NPI Number	:	1851782320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN CANARIA OTR

Provider Business Mailing Address
First Line	:	3213 W CHARLESTON BLVD
Second Line	:	STE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1991
Country	:	US
Telephone Number	:	702-570-6222
Fax Number	:	702-570-6234

Provider Business Practice Location Address
First Line	:	1964 STUART ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2620
Country	:	US
Telephone Number	:	646-884-0788
Fax Number	:

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

Provider Enumeration Date	:	02/05/2015
Last Update Date	:	06/05/2018

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Directions to “ MAUREEN CANARIA OTR” Practice Location

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