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NPI Code Detail

MEDICARE: COURTNEY MARONEY OTR/L

MEDICARE:   COURTNEY  MARONEY  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 Therapist113778TX

General Provider Information

NPI Number : 1972818235
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MARONEY OTR/L
Provider Business Mailing Address
First Line : 73 STRATHMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14220-1734
Country : US
Telephone Number : 716-984-5304
Fax Number :
Provider Business Practice Location Address
First Line : 73 STRATHMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14220-1734
Country : US
Telephone Number : 716-984-5304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2010
Last Update Date : 08/11/2010

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Directions to “ COURTNEY MARONEY OTR/L” Practice Location

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