Pesantez, Mariana L
Pesantez, Mariana L is an sole proprietor health care provider with primary practice located at 2675 Court Dr , Gastonia NC 28054-1478. 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. Pesantez, Mariana L can be contacted via phone (704) 748-0516.Contact Information
Primary practice address
2675 Court Dr
Gastonia NC 28054-1478
Phone: (704) 748-0516
Fax: (980) 389-0044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6246 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 015089-1 | New York |
Profile Details
| NPI number | 1346394004 |
|---|---|
| LBN Legal business name | Pesantez, Mariana L |
| Credentials | MS, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Feb 2nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346394004 | NPPES |
| North Carolina | MEDICAID | 7211258 | |
| North Carolina | MEDICAID | 7301953 |
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