Individual
MS. EILEEN S MAIETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10100 HILLVIEW DR, PENSACOLA, FL 32514-5436
(800) 347-2264
Mailing address
395 E PINE ST, MARY ESTHER, FL 32569-2602
(540) 815-0759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119001028
VA
225X00000X
Occupational Therapist
Primary
15185
FL
Other
Enumeration date
04/07/2012
Last updated
04/07/2012
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