Provider Demographics
NPI:1497135693
Name:FIGUEROA, MARIELYS (MS,, OTR/L, CLT)
Entity Type:Individual
Prefix:MISS
First Name:MARIELYS
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MS,, OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 NE 17TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-8304
Mailing Address - Country:US
Mailing Address - Phone:239-672-6523
Mailing Address - Fax:
Practice Address - Street 1:3613 NE 17TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-8304
Practice Address - Country:US
Practice Address - Phone:239-672-6523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14753225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation