Mandell, Marian Porter

Mandell, Marian Porter is an sole proprietor health care provider with primary practice located at 4414 W Anita Blvd , Tampa FL 33611-1116. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Mandell, Marian Porter can be contacted via phone (813) 789-2419.

Contact Information

Primary practice address
4414 W Anita Blvd Tampa FL 33611-1116
Phone: (813) 789-2419
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 008847-1N New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT15452 Florida

Profile Details

NPI number 1104146976
LBN Legal business name Mandell, Marian Porter
Credentials OTR.L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2010
Last updated Jan 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104146976 NPPES
Florida MEDICAID 006735200

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