MEDICARE: MR. MARK VINCENT FARINAS M.S., 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	225XP0200X	Pediatric Occupational Therapist	04680	MD

General Provider Information

NPI Number	:	1912049008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK VINCENT FARINAS M.S., OTR

Provider Business Mailing Address
First Line	:	3836 BERLEIGH HILL CT
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1392
Country	:	US
Telephone Number	:	301-219-7051
Fax Number	:

Provider Business Practice Location Address
First Line	:	4954 N PALMER RD BLDG 19
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-5630
Country	:	US
Telephone Number	:	301-319-4225
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	04/03/2023

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