Provider Demographics
NPI:1477759249
Name:PAJEVSKI, MARTHA MAY (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:MAY
Last Name:PAJEVSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARTY
Other - Middle Name:
Other - Last Name:PAJEVSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:9 LACRUE AVENUE, SUITE 210
Mailing Address - Street 2:EBS HEALTHCARE
Mailing Address - City:CONCORDVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19331
Mailing Address - Country:US
Mailing Address - Phone:800-578-7906
Mailing Address - Fax:866-295-5478
Practice Address - Street 1:1601 CHESTNUT AVE.
Practice Address - Street 2:SANTA ANA SCHOOL DISTRICT
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-6322
Practice Address - Country:US
Practice Address - Phone:714-558-5501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9791225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9791OtherBRD OCCUPATIONAL THERAPY