Provider Demographics
NPI:1063014603
Name:SANTIAGO, MARITZA (OCCUPATIONAL THERAPY)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7887 ROSEWIND CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4506
Mailing Address - Country:US
Mailing Address - Phone:513-504-3701
Mailing Address - Fax:
Practice Address - Street 1:7887 ROSEWIND CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4506
Practice Address - Country:US
Practice Address - Phone:513-504-3701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty