Provider Demographics
NPI:1831256106
Name:BELL, MAYA NAIMA (MED, OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:MAYA
Middle Name:NAIMA
Last Name:BELL
Suffix:
Gender:F
Credentials:MED, OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 455 BOX 208
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96540-0003
Mailing Address - Country:US
Mailing Address - Phone:671-344-9515
Mailing Address - Fax:
Practice Address - Street 1:USNMRTC GUAM
Practice Address - Street 2:BLDG. 50 FARENHOLT AVE.
Practice Address - City:AGANA HEIGHTS
Practice Address - State:GU
Practice Address - Zip Code:96910
Practice Address - Country:US
Practice Address - Phone:671-344-9515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT7184225X00000X
MD06143225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA388666590AMedicaid
CAVAD0000Medicare UPIN