Individual
MR. MARK ROBERT MAULIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1898
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y005
BCBS INDIV PROVIDER #
AR
Enumeration date
04/14/2006
Last updated
07/13/2026
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