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NPI Code Detail

MEDICARE: MRS. MARCY CARMEN DE PERIO OTR/L

MEDICARE:  MRS. MARCY CARMEN DE PERIO  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 Therapist10911CA

General Provider Information

NPI Number : 1871755637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARCY CARMEN DE PERIO OTR/L
Provider Business Mailing Address
First Line : 1520 PARKMOOR AVE STE A
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2422
Country : US
Telephone Number : 408-241-9911
Fax Number : 408-241-7788
Provider Business Practice Location Address
First Line : 1520 PARKMOOR AVE STE A
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2422
Country : US
Telephone Number : 408-241-9911
Fax Number : 408-241-7788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 07/18/2012

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Directions to “ MRS. MARCY CARMEN DE PERIO 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.