Individual
MARIE MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02363
MD
225XP0200X
Pediatric Occupational Therapist
02363
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A690PE
BLUE CROSS BLUE SHIELD
MD
01
—
S958
BLUE CROSS BLUE SHIELD
MD
Enumeration date
11/12/2009
Last updated
11/12/2009
Update your record
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