Bevilacqua-Harding, Marianne

Bevilacqua-Harding, Marianne is an individual health care provider with primary practice located at 1774 Gentry Ln , Statham GA 30666-2059. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bevilacqua-Harding, Marianne can be contacted via phone (484) 883-0919.

Contact Information

Primary practice address
1774 Gentry Ln Statham GA 30666-2059
Fax:
Website:

Health care specialties

Profile Details

NPI number 1053508713
LBN Legal business name Bevilacqua-Harding, Marianne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Jan 6th, 2015 - about 10 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 1053508713 NPPES
Pennsylvania Other 1020403110001 PROMISE PROVIDER ID#

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