Maggie Lee Milne, COTA/L
Individual provider Active NPI Occupational Therapist · North Jackson, OH
NPI 1790024271 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1790024271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 04755 (OH)
- Practice address
- 13315 N Palmyra Rd
North Jackson, OH 44451-9776 - Phone
- (330) 360-1338
- NPI assigned
- Feb 4, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02463 | CA | MD | Occupational Therapist |
| A01941 | MD | MD | Occupational Therapist |
| 04755 | OH | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 04755 | OH | Yes |
| Occupational Therapist | 225X00000X | 02463 | CA | |
| Occupational Therapist | 225X00000X | A01941 | MD |
Addresses
Primary practice location
13315 N Palmyra Rd
North Jackson, OH 44451-9776
Mailing address
13315 N Palmyra Rd
North Jackson, OH 44451-9776
Phone (330) 360-1338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04755 | Other | OH | OHIO OCCUPATIONAL STATE LICENSURE |
| A01941 | Other | MD | MARYLAND OCCUPATIONAL THERAPY LICENSURE |
| 2463 | Other | CA | CALIFORNIA OCCUPATIONAL STATE LICENSURE |
Other providers in North Jackson, OH
- Stephanie Kardos
- Lucinda Lois Kutsko
- Ann Maynard
- Judy McCorkle
- Robert Louis McIntosh
- Minds-N-Motion Wellness LLC
- North Jackson Family Dentistry
- Jay Richard Osborne
- Lisa Popa
- Brian T Roach
All providers in North Jackson, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.