MEDICARE: MS. NATALIE ELMA MARCIL 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
1	225X00000X	Occupational Therapist	8865	MA
2	225XP0200X	Pediatric Occupational Therapist	8865	MA

General Provider Information

NPI Number	:	1891037933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIE ELMA MARCIL OTR/L

Provider Business Mailing Address
First Line	:	314 MOUNT VERNON ST
Second Line	:
City	:	FITCHBURG
State	:	MA
Zip	:	01420-2564
Country	:	US
Telephone Number	:	978-500-2623
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 MOUNT VERNON ST
Second Line	:
City	:	FITCHBURG
State	:	MA
Zip	:	01420-2564
Country	:	US
Telephone Number	:	978-500-2623
Fax Number	:

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

Provider Enumeration Date	:	03/26/2013
Last Update Date	:	03/26/2013

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