Individual
MARIA MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
21040 MIFLIN RD STE 2, FOLEY, AL 36535
(251) 978-1280
Mailing address
804 WISTERIA LN, FOLEY, AL 36535-2506
(251) 978-1280
(251) 970-3233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0828
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
01
—
51099356
BCBS PROVIDER NUMBER
AL
05
—
529917620
—
AL
Enumeration date
12/19/2006
Last updated
03/24/2019
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