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MARIAH N HELLSTROM
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1255919403
Individual Registrant: MARIAH N HELLSTROM
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
13568 NW 1ST LN STE 1 NEWBERRY, FL 32669-3698 US
Tel: 352-331-9448 Fax: --
Tel: 352-331-9448 Fax: --
Contact information for business:
13568 NW 1ST LN STE 1 NEWBERRY, FL 32669-3698 US
Tel: 352-331-9448 Fax: --
Tel: 352-331-9448 Fax: --
Registration Information:
NPI: 1255919403
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | FL | 21603 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
