Provider Demographics
NPI:1407584790
Name:MICHELLE MARI OT
Entity Type:Organization
Organization Name:MICHELLE MARI OT
Other - Org Name:STORYTIMETHERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ORTIGAS
Authorized Official - Last Name:MARI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:415-867-9660
Mailing Address - Street 1:647 LAS PALMAS DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2316
Mailing Address - Country:US
Mailing Address - Phone:415-867-9660
Mailing Address - Fax:
Practice Address - Street 1:647 LAS PALMAS DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-2316
Practice Address - Country:US
Practice Address - Phone:415-867-9660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty